National Provider Identifier [NPI]: |
1225087844 |
Last Name Of The Provider |
DUMONT |
First Name Of The Provider |
FRANCIS |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4623 WESLEY AVE |
Street Address 2 Of The Provider |
SUITE P |
City Of The Provider |
CINCINNATI |
Zip Code Of The Provider |
452122246 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
2041 |
Number Of Medicare Beneficiaries |
329 |
Total Submitted Charge Amount |
206337.51 |
Total Medicare Allowed Amount |
174090.71 |
Total Medicare Payment Amount |
134348.99 |
Total Medicare Standardized Payment Amount |
137977.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
131 |
Number Of Medicare Beneficiaries With Drug Services |
82 |
Total Drug Submitted ChargeAmount |
2586.73 |
Total Drug Medicare AllowedAmount |
2289.25 |
Total Drug Medicare PaymentAmount |
2218.19 |
Total Drug Medicare Standardized Payment Amount |
2218.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
1910 |
Number Of Medicare Beneficiaries With Medical Services |
329 |
Total Medical Submitted Charge Amount |
203750.78 |
Total Medical Medicare Allowed Amount |
171801.46 |
Total Medical Medicare Payment Amount |
132130.8 |
Total Medical Medicare Standardized Payment Amount |
135759.41 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
86 |
Number Of Beneficiaries Age 75 to 84 |
71 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
221 |
Number Of Male Beneficiaries |
108 |
Number Of Non Hispanic White Beneficiaries |
272 |
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 |
131 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
198 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
47 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.3472 |