National Provider Identifier [NPI]: |
1295730646 |
Last Name Of The Provider |
CALNON |
First Name Of The Provider |
DENNIS |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3705 OLENTANGY RIVER RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
432143467 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
4214 |
Number Of Medicare Beneficiaries |
2586 |
Total Submitted Charge Amount |
417552 |
Total Medicare Allowed Amount |
204231.52 |
Total Medicare Payment Amount |
153226.83 |
Total Medicare Standardized Payment Amount |
159068.41 |
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 |
46 |
Number Of Medical Services |
4214 |
Number Of Medicare Beneficiaries With Medical Services |
2586 |
Total Medical Submitted Charge Amount |
417552 |
Total Medical Medicare Allowed Amount |
204231.52 |
Total Medical Medicare Payment Amount |
153226.83 |
Total Medical Medicare Standardized Payment Amount |
159068.41 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
365 |
Number Of Beneficiaries Age 65 to 74 |
868 |
Number Of Beneficiaries Age 75 to 84 |
841 |
Number Of Beneficiaries Age Greater 84 |
512 |
Number Of Female Beneficiaries |
1347 |
Number Of Male Beneficiaries |
1239 |
Number Of Non Hispanic White Beneficiaries |
2356 |
Number Of Black or African American Beneficiaries |
149 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
34 |
Number Of Beneficiaries With Medicare Only Entitlement |
2044 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
542 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
1.7456 |