National Provider Identifier [NPI]: |
1114005642 |
Last Name Of The Provider |
DEMIRCIOGLU |
First Name Of The Provider |
AHMET |
Middle Initial Of The Provider |
U |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3305 S. 20TH ST. |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
MILWAUKEE |
Zip Code Of The Provider |
532154940 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
1215 |
Number Of Medicare Beneficiaries |
347 |
Total Submitted Charge Amount |
331760.7 |
Total Medicare Allowed Amount |
121255.11 |
Total Medicare Payment Amount |
89544.26 |
Total Medicare Standardized Payment Amount |
93038.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
21 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
679.7 |
Total Drug Medicare AllowedAmount |
332.16 |
Total Drug Medicare PaymentAmount |
324.91 |
Total Drug Medicare Standardized Payment Amount |
324.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
1194 |
Number Of Medicare Beneficiaries With Medical Services |
347 |
Total Medical Submitted Charge Amount |
331081 |
Total Medical Medicare Allowed Amount |
120922.95 |
Total Medical Medicare Payment Amount |
89219.35 |
Total Medical Medicare Standardized Payment Amount |
92713.74 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
96 |
Number Of Beneficiaries Age 75 to 84 |
102 |
Number Of Beneficiaries Age Greater 84 |
64 |
Number Of Female Beneficiaries |
196 |
Number Of Male Beneficiaries |
151 |
Number Of Non Hispanic White Beneficiaries |
282 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
188 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
159 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.2413 |