National Provider Identifier [NPI]: |
1477503928 |
Last Name Of The Provider |
SIMPSON |
First Name Of The Provider |
FREDERICK |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1081 FAIRINGTON DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SIDNEY |
Zip Code Of The Provider |
453658130 |
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 |
60 |
Number Of Services |
1399 |
Number Of Medicare Beneficiaries |
361 |
Total Submitted Charge Amount |
150395 |
Total Medicare Allowed Amount |
104478.28 |
Total Medicare Payment Amount |
74511.36 |
Total Medicare Standardized Payment Amount |
77261.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
50 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
1085 |
Total Drug Medicare AllowedAmount |
574.16 |
Total Drug Medicare PaymentAmount |
535.84 |
Total Drug Medicare Standardized Payment Amount |
535.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
1349 |
Number Of Medicare Beneficiaries With Medical Services |
361 |
Total Medical Submitted Charge Amount |
149310 |
Total Medical Medicare Allowed Amount |
103904.12 |
Total Medical Medicare Payment Amount |
73975.52 |
Total Medical Medicare Standardized Payment Amount |
76725.38 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
110 |
Number Of Beneficiaries Age 75 to 84 |
111 |
Number Of Beneficiaries Age Greater 84 |
88 |
Number Of Female Beneficiaries |
214 |
Number Of Male Beneficiaries |
147 |
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 |
257 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
104 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3846 |