National Provider Identifier [NPI]: |
1588825590 |
Last Name Of The Provider |
HOMSEY |
First Name Of The Provider |
ANNA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10500 MONTGOMERY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CINCINNATI |
Zip Code Of The Provider |
452424402 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
152 |
Number Of Services |
2792 |
Number Of Medicare Beneficiaries |
1860 |
Total Submitted Charge Amount |
284175.5 |
Total Medicare Allowed Amount |
90464.35 |
Total Medicare Payment Amount |
71301.01 |
Total Medicare Standardized Payment Amount |
73974.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
152 |
Number Of Medical Services |
2792 |
Number Of Medicare Beneficiaries With Medical Services |
1860 |
Total Medical Submitted Charge Amount |
284175.5 |
Total Medical Medicare Allowed Amount |
90464.35 |
Total Medical Medicare Payment Amount |
71301.01 |
Total Medical Medicare Standardized Payment Amount |
73974.38 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
318 |
Number Of Beneficiaries Age 65 to 74 |
736 |
Number Of Beneficiaries Age 75 to 84 |
508 |
Number Of Beneficiaries Age Greater 84 |
298 |
Number Of Female Beneficiaries |
1254 |
Number Of Male Beneficiaries |
606 |
Number Of Non Hispanic White Beneficiaries |
1648 |
Number Of Black or African American Beneficiaries |
158 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
1484 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
376 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5958 |