National Provider Identifier [NPI]: |
1962432518 |
Last Name Of The Provider |
DEUCHER |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7255 OLD OAK BLVD |
Street Address 2 Of The Provider |
C208 |
City Of The Provider |
MIDDLEBURG HEIGHTS |
Zip Code Of The Provider |
441303329 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
6182 |
Number Of Medicare Beneficiaries |
2431 |
Total Submitted Charge Amount |
956606.5 |
Total Medicare Allowed Amount |
408878.09 |
Total Medicare Payment Amount |
301177.54 |
Total Medicare Standardized Payment Amount |
314670.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1160 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
24546.5 |
Total Drug Medicare AllowedAmount |
12919.03 |
Total Drug Medicare PaymentAmount |
10128.41 |
Total Drug Medicare Standardized Payment Amount |
10128.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
5022 |
Number Of Medicare Beneficiaries With Medical Services |
2431 |
Total Medical Submitted Charge Amount |
932060 |
Total Medical Medicare Allowed Amount |
395959.06 |
Total Medical Medicare Payment Amount |
291049.13 |
Total Medical Medicare Standardized Payment Amount |
304542.13 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
154 |
Number Of Beneficiaries Age 65 to 74 |
867 |
Number Of Beneficiaries Age 75 to 84 |
949 |
Number Of Beneficiaries Age Greater 84 |
461 |
Number Of Female Beneficiaries |
1297 |
Number Of Male Beneficiaries |
1134 |
Number Of Non Hispanic White Beneficiaries |
2325 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
2227 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
204 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5164 |