National Provider Identifier [NPI]: |
1508080938 |
Last Name Of The Provider |
FIGG |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 POLARIS PKWY |
Street Address 2 Of The Provider |
SUITE 2350 |
City Of The Provider |
WESTERVILLE |
Zip Code Of The Provider |
430827989 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
841 |
Number Of Medicare Beneficiaries |
258 |
Total Submitted Charge Amount |
194663 |
Total Medicare Allowed Amount |
73255.93 |
Total Medicare Payment Amount |
52405.12 |
Total Medicare Standardized Payment Amount |
53737.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
18 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
103 |
Total Drug Medicare AllowedAmount |
36.17 |
Total Drug Medicare PaymentAmount |
28.37 |
Total Drug Medicare Standardized Payment Amount |
28.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
823 |
Number Of Medicare Beneficiaries With Medical Services |
258 |
Total Medical Submitted Charge Amount |
194560 |
Total Medical Medicare Allowed Amount |
73219.76 |
Total Medical Medicare Payment Amount |
52376.75 |
Total Medical Medicare Standardized Payment Amount |
53709.15 |
Average Age Of Beneficiaries |
58 |
Number Of Beneficiaries Age Less65 |
163 |
Number Of Beneficiaries Age 65 to 74 |
68 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
152 |
Number Of Male Beneficiaries |
106 |
Number Of Non Hispanic White Beneficiaries |
197 |
Number Of Black or African American Beneficiaries |
50 |
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 |
137 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
121 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
17 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2556 |