National Provider Identifier [NPI]: |
1912933003 |
Last Name Of The Provider |
ORLANDO |
First Name Of The Provider |
MARC |
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 |
2123 AUBURN AVE |
Street Address 2 Of The Provider |
SUITE441 |
City Of The Provider |
CINCINNATI |
Zip Code Of The Provider |
452192906 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
4422 |
Number Of Medicare Beneficiaries |
863 |
Total Submitted Charge Amount |
1604727.5 |
Total Medicare Allowed Amount |
342974.17 |
Total Medicare Payment Amount |
258096.98 |
Total Medicare Standardized Payment Amount |
242014.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1353 |
Number Of Medicare Beneficiaries With Drug Services |
156 |
Total Drug Submitted ChargeAmount |
12755.5 |
Total Drug Medicare AllowedAmount |
3752.92 |
Total Drug Medicare PaymentAmount |
2877.39 |
Total Drug Medicare Standardized Payment Amount |
2877.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
3069 |
Number Of Medicare Beneficiaries With Medical Services |
863 |
Total Medical Submitted Charge Amount |
1591972 |
Total Medical Medicare Allowed Amount |
339221.25 |
Total Medical Medicare Payment Amount |
255219.59 |
Total Medical Medicare Standardized Payment Amount |
239137.08 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
139 |
Number Of Beneficiaries Age 65 to 74 |
385 |
Number Of Beneficiaries Age 75 to 84 |
249 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
531 |
Number Of Male Beneficiaries |
332 |
Number Of Non Hispanic White Beneficiaries |
734 |
Number Of Black or African American Beneficiaries |
102 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
742 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
121 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1606 |