National Provider Identifier [NPI]: |
1962452797 |
Last Name Of The Provider |
PAGUR |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3535 SOUTHERN BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
KETTERING |
Zip Code Of The Provider |
454291221 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
188 |
Number Of Services |
8130 |
Number Of Medicare Beneficiaries |
3899 |
Total Submitted Charge Amount |
823705 |
Total Medicare Allowed Amount |
205447.95 |
Total Medicare Payment Amount |
154414.26 |
Total Medicare Standardized Payment Amount |
159775.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
2800 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
784 |
Total Drug Medicare AllowedAmount |
579.2 |
Total Drug Medicare PaymentAmount |
454.07 |
Total Drug Medicare Standardized Payment Amount |
454.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
187 |
Number Of Medical Services |
5330 |
Number Of Medicare Beneficiaries With Medical Services |
3899 |
Total Medical Submitted Charge Amount |
822921 |
Total Medical Medicare Allowed Amount |
204868.75 |
Total Medical Medicare Payment Amount |
153960.19 |
Total Medical Medicare Standardized Payment Amount |
159321.26 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
837 |
Number Of Beneficiaries Age 65 to 74 |
1380 |
Number Of Beneficiaries Age 75 to 84 |
1052 |
Number Of Beneficiaries Age Greater 84 |
630 |
Number Of Female Beneficiaries |
2297 |
Number Of Male Beneficiaries |
1602 |
Number Of Non Hispanic White Beneficiaries |
3485 |
Number Of Black or African American Beneficiaries |
310 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
42 |
Number Of Beneficiaries With Medicare Only Entitlement |
2851 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1048 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7937 |