National Provider Identifier [NPI]: |
1861430530 |
Last Name Of The Provider |
HANKIN |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10500 MONTGOMERY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CINCINNATI |
Zip Code Of The Provider |
452424402 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
245 |
Number Of Services |
4619 |
Number Of Medicare Beneficiaries |
2639 |
Total Submitted Charge Amount |
725279.5 |
Total Medicare Allowed Amount |
216594.06 |
Total Medicare Payment Amount |
167336.37 |
Total Medicare Standardized Payment Amount |
172459.12 |
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 |
245 |
Number Of Medical Services |
4619 |
Number Of Medicare Beneficiaries With Medical Services |
2639 |
Total Medical Submitted Charge Amount |
725279.5 |
Total Medical Medicare Allowed Amount |
216594.06 |
Total Medical Medicare Payment Amount |
167336.37 |
Total Medical Medicare Standardized Payment Amount |
172459.12 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
392 |
Number Of Beneficiaries Age 65 to 74 |
934 |
Number Of Beneficiaries Age 75 to 84 |
807 |
Number Of Beneficiaries Age Greater 84 |
506 |
Number Of Female Beneficiaries |
1484 |
Number Of Male Beneficiaries |
1155 |
Number Of Non Hispanic White Beneficiaries |
2419 |
Number Of Black or African American Beneficiaries |
144 |
Number Of AsianPacific Islander Beneficiaries |
22 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
42 |
Number Of Beneficiaries With Medicare Only Entitlement |
2115 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
524 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8547 |