National Provider Identifier [NPI]: |
1265437628 |
Last Name Of The Provider |
SILVER |
First Name Of The Provider |
MITCHELL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3705 OLENTANGY RIVER RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
432143467 |
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 |
91 |
Number Of Services |
2248 |
Number Of Medicare Beneficiaries |
1245 |
Total Submitted Charge Amount |
494413 |
Total Medicare Allowed Amount |
168810.48 |
Total Medicare Payment Amount |
127811.26 |
Total Medicare Standardized Payment Amount |
133273.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
2248 |
Number Of Medicare Beneficiaries With Medical Services |
1245 |
Total Medical Submitted Charge Amount |
494413 |
Total Medical Medicare Allowed Amount |
168810.48 |
Total Medical Medicare Payment Amount |
127811.26 |
Total Medical Medicare Standardized Payment Amount |
133273.58 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
203 |
Number Of Beneficiaries Age 65 to 74 |
442 |
Number Of Beneficiaries Age 75 to 84 |
381 |
Number Of Beneficiaries Age Greater 84 |
219 |
Number Of Female Beneficiaries |
614 |
Number Of Male Beneficiaries |
631 |
Number Of Non Hispanic White Beneficiaries |
1143 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
944 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
301 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9217 |