National Provider Identifier [NPI]: |
1194826552 |
Last Name Of The Provider |
WINER |
First Name Of The Provider |
NORTON |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
18599 LAKE SHORE BLVD STE 106 |
Street Address 2 Of The Provider |
|
City Of The Provider |
EUCLID |
Zip Code Of The Provider |
441191099 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
4213 |
Number Of Medicare Beneficiaries |
639 |
Total Submitted Charge Amount |
365094 |
Total Medicare Allowed Amount |
187965.32 |
Total Medicare Payment Amount |
139323.13 |
Total Medicare Standardized Payment Amount |
136834.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2738 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
40804 |
Total Drug Medicare AllowedAmount |
14896.85 |
Total Drug Medicare PaymentAmount |
11679.14 |
Total Drug Medicare Standardized Payment Amount |
11679.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
1475 |
Number Of Medicare Beneficiaries With Medical Services |
639 |
Total Medical Submitted Charge Amount |
324290 |
Total Medical Medicare Allowed Amount |
173068.47 |
Total Medical Medicare Payment Amount |
127643.99 |
Total Medical Medicare Standardized Payment Amount |
125155.28 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
116 |
Number Of Beneficiaries Age 65 to 74 |
191 |
Number Of Beneficiaries Age 75 to 84 |
194 |
Number Of Beneficiaries Age Greater 84 |
138 |
Number Of Female Beneficiaries |
382 |
Number Of Male Beneficiaries |
257 |
Number Of Non Hispanic White Beneficiaries |
468 |
Number Of Black or African American Beneficiaries |
158 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
488 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
151 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
24 |
Average HCC Risk Score Of Beneficiaries |
1.6585 |