Medicare Facts for Dr. James P. Plettner, MD


National Provider Identifier [NPI]: 1558361147
Last Name Of The Provider PLETTNER
First Name Of The Provider JAMES
Middle Initial Of The Provider P
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 7575 5 MILE RD
Street Address 2 Of The Provider
City Of The Provider CINCINNATI
Zip Code Of The Provider 452304346
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Hand Surgery
Medicare Participation Indicator Y
Number Of HCPCS 73
Number Of Services 1551
Number Of Medicare Beneficiaries 268
Total Submitted Charge Amount 245122
Total Medicare Allowed Amount 133455.22
Total Medicare Payment Amount 100286.52
Total Medicare Standardized Payment Amount 104671.74
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 467
Number Of Medicare Beneficiaries With Drug Services 68
Total Drug Submitted ChargeAmount 12512
Total Drug Medicare AllowedAmount 8566
Total Drug Medicare PaymentAmount 6638.63
Total Drug Medicare Standardized Payment Amount 6638.63
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 71
Number Of Medical Services 1084
Number Of Medicare Beneficiaries With Medical Services 268
Total Medical Submitted Charge Amount 232610
Total Medical Medicare Allowed Amount 124889.22
Total Medical Medicare Payment Amount 93647.89
Total Medical Medicare Standardized Payment Amount 98033.11
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 34
Number Of Beneficiaries Age 65 to 74 130
Number Of Beneficiaries Age 75 to 84 78
Number Of Beneficiaries Age Greater 84 26
Number Of Female Beneficiaries 156
Number Of Male Beneficiaries 112
Number Of Non Hispanic White Beneficiaries 256
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 247
Number Of Beneficiaries With Medicare Medicaid Entitlement 21
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 8
Percent Of With Cancer 8
Percent Of With Heart Failure 9
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 18
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 62
Percent Of With Ischemic Heart Disease 25
Percent Of With Osteoporosis 4
Percent Of With Rheumatoid Arthritis Osteoarthritis 50
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0124

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