Medicare Facts for Dr. Joseph J. Pflum, MD


National Provider Identifier [NPI]: 1356398747
Last Name Of The Provider PFLUM
First Name Of The Provider JOSEPH
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 4750 E GALBRAITH RD
Street Address 2 Of The Provider STE. 210
City Of The Provider CINCINNATI
Zip Code Of The Provider 452366705
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 39
Number Of Services 1416
Number Of Medicare Beneficiaries 344
Total Submitted Charge Amount 154998
Total Medicare Allowed Amount 99949.7
Total Medicare Payment Amount 67639.94
Total Medicare Standardized Payment Amount 71981.77
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 161
Number Of Medicare Beneficiaries With Drug Services 79
Total Drug Submitted ChargeAmount 6931
Total Drug Medicare AllowedAmount 3478.71
Total Drug Medicare PaymentAmount 3220.12
Total Drug Medicare Standardized Payment Amount 3220.12
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 32
Number Of Medical Services 1255
Number Of Medicare Beneficiaries With Medical Services 344
Total Medical Submitted Charge Amount 148067
Total Medical Medicare Allowed Amount 96470.99
Total Medical Medicare Payment Amount 64419.82
Total Medical Medicare Standardized Payment Amount 68761.65
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 44
Number Of Beneficiaries Age 65 to 74 154
Number Of Beneficiaries Age 75 to 84 91
Number Of Beneficiaries Age Greater 84 55
Number Of Female Beneficiaries 189
Number Of Male Beneficiaries 155
Number Of Non Hispanic White Beneficiaries 311
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 320
Number Of Beneficiaries With Medicare Medicaid Entitlement 24
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 6
Percent Of With Cancer 7
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 29
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 67
Percent Of With Ischemic Heart Disease 26
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 1.0269

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