National Provider Identifier [NPI]: |
1417956202 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
CHARLES |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4440 GLEN ESTE WITHAMSVILLE RD |
Street Address 2 Of The Provider |
SUITE 500 |
City Of The Provider |
CINCINNATI |
Zip Code Of The Provider |
452451318 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
125 |
Number Of Services |
4644 |
Number Of Medicare Beneficiaries |
634 |
Total Submitted Charge Amount |
719197 |
Total Medicare Allowed Amount |
365860.61 |
Total Medicare Payment Amount |
272202.71 |
Total Medicare Standardized Payment Amount |
275175.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1923 |
Number Of Medicare Beneficiaries With Drug Services |
264 |
Total Drug Submitted ChargeAmount |
156076 |
Total Drug Medicare AllowedAmount |
70795.06 |
Total Drug Medicare PaymentAmount |
53945.99 |
Total Drug Medicare Standardized Payment Amount |
53945.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
121 |
Number Of Medical Services |
2721 |
Number Of Medicare Beneficiaries With Medical Services |
634 |
Total Medical Submitted Charge Amount |
563121 |
Total Medical Medicare Allowed Amount |
295065.55 |
Total Medical Medicare Payment Amount |
218256.72 |
Total Medical Medicare Standardized Payment Amount |
221229.66 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
147 |
Number Of Beneficiaries Age 65 to 74 |
219 |
Number Of Beneficiaries Age 75 to 84 |
189 |
Number Of Beneficiaries Age Greater 84 |
79 |
Number Of Female Beneficiaries |
442 |
Number Of Male Beneficiaries |
192 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
438 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
196 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2773 |