National Provider Identifier [NPI]: |
1316998917 |
Last Name Of The Provider |
OZEL |
First Name Of The Provider |
BORA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 HIGHLAND AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MADISON |
Zip Code Of The Provider |
537920001 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
153 |
Number Of Services |
6205 |
Number Of Medicare Beneficiaries |
2184 |
Total Submitted Charge Amount |
960283 |
Total Medicare Allowed Amount |
141917.6 |
Total Medicare Payment Amount |
110530.8 |
Total Medicare Standardized Payment Amount |
115771.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
3093 |
Number Of Medicare Beneficiaries With Drug Services |
47 |
Total Drug Submitted ChargeAmount |
4342 |
Total Drug Medicare AllowedAmount |
1194.22 |
Total Drug Medicare PaymentAmount |
915.91 |
Total Drug Medicare Standardized Payment Amount |
915.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
149 |
Number Of Medical Services |
3112 |
Number Of Medicare Beneficiaries With Medical Services |
2184 |
Total Medical Submitted Charge Amount |
955941 |
Total Medical Medicare Allowed Amount |
140723.38 |
Total Medical Medicare Payment Amount |
109614.89 |
Total Medical Medicare Standardized Payment Amount |
114855.24 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
371 |
Number Of Beneficiaries Age 65 to 74 |
903 |
Number Of Beneficiaries Age 75 to 84 |
590 |
Number Of Beneficiaries Age Greater 84 |
320 |
Number Of Female Beneficiaries |
1462 |
Number Of Male Beneficiaries |
722 |
Number Of Non Hispanic White Beneficiaries |
2026 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
38 |
Number Of Beneficiaries With Medicare Only Entitlement |
1727 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
457 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.258 |