National Provider Identifier [NPI]: |
1720076805 |
Last Name Of The Provider |
VILINSKY |
First Name Of The Provider |
FELIX |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5850 LANDERBROOK DR STE 105 |
Street Address 2 Of The Provider |
|
City Of The Provider |
MAYFIELD HTS |
Zip Code Of The Provider |
441244054 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
3323 |
Number Of Medicare Beneficiaries |
483 |
Total Submitted Charge Amount |
274080 |
Total Medicare Allowed Amount |
186544.87 |
Total Medicare Payment Amount |
133870.36 |
Total Medicare Standardized Payment Amount |
139321.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
395 |
Number Of Medicare Beneficiaries With Drug Services |
197 |
Total Drug Submitted ChargeAmount |
13813 |
Total Drug Medicare AllowedAmount |
8550.99 |
Total Drug Medicare PaymentAmount |
8241.52 |
Total Drug Medicare Standardized Payment Amount |
8241.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
2928 |
Number Of Medicare Beneficiaries With Medical Services |
482 |
Total Medical Submitted Charge Amount |
260267 |
Total Medical Medicare Allowed Amount |
177993.88 |
Total Medical Medicare Payment Amount |
125628.84 |
Total Medical Medicare Standardized Payment Amount |
131080.44 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
141 |
Number Of Beneficiaries Age 75 to 84 |
139 |
Number Of Beneficiaries Age Greater 84 |
187 |
Number Of Female Beneficiaries |
266 |
Number Of Male Beneficiaries |
217 |
Number Of Non Hispanic White Beneficiaries |
376 |
Number Of Black or African American Beneficiaries |
89 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
402 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
81 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.3534 |