National Provider Identifier [NPI]: |
1942282983 |
Last Name Of The Provider |
TURGEON |
First Name Of The Provider |
KAREN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
26908 DETROIT RD |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
WESTLAKE |
Zip Code Of The Provider |
441452398 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
4225 |
Number Of Medicare Beneficiaries |
1083 |
Total Submitted Charge Amount |
430787.94 |
Total Medicare Allowed Amount |
197236.81 |
Total Medicare Payment Amount |
144956.58 |
Total Medicare Standardized Payment Amount |
141492.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
1461 |
Total Drug Medicare AllowedAmount |
1308.35 |
Total Drug Medicare PaymentAmount |
1018.8 |
Total Drug Medicare Standardized Payment Amount |
1018.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
4202 |
Number Of Medicare Beneficiaries With Medical Services |
1083 |
Total Medical Submitted Charge Amount |
429326.94 |
Total Medical Medicare Allowed Amount |
195928.46 |
Total Medical Medicare Payment Amount |
143937.78 |
Total Medical Medicare Standardized Payment Amount |
140473.47 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
417 |
Number Of Beneficiaries Age 75 to 84 |
418 |
Number Of Beneficiaries Age Greater 84 |
218 |
Number Of Female Beneficiaries |
573 |
Number Of Male Beneficiaries |
510 |
Number Of Non Hispanic White Beneficiaries |
1049 |
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 |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1047 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.067 |