Medicare Facts for Dr. Philip J. Buffington, MD


National Provider Identifier [NPI]: 1114967973
Last Name Of The Provider BUFFINGTON
First Name Of The Provider PHILIP
Middle Initial Of The Provider J
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 10220 ALLIANCE RD
Street Address 2 Of The Provider
City Of The Provider BLUE ASH
Zip Code Of The Provider 452424710
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Urology
Medicare Participation Indicator Y
Number Of HCPCS 147
Number Of Services 6316
Number Of Medicare Beneficiaries 828
Total Submitted Charge Amount 878174
Total Medicare Allowed Amount 341161.05
Total Medicare Payment Amount 259819.19
Total Medicare Standardized Payment Amount 268619.16
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 2815
Number Of Medicare Beneficiaries With Drug Services 44
Total Drug Submitted ChargeAmount 152727
Total Drug Medicare AllowedAmount 86481.11
Total Drug Medicare PaymentAmount 67508.97
Total Drug Medicare Standardized Payment Amount 67508.97
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 136
Number Of Medical Services 3501
Number Of Medicare Beneficiaries With Medical Services 828
Total Medical Submitted Charge Amount 725447
Total Medical Medicare Allowed Amount 254679.94
Total Medical Medicare Payment Amount 192310.22
Total Medical Medicare Standardized Payment Amount 201110.19
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 80
Number Of Beneficiaries Age 65 to 74 353
Number Of Beneficiaries Age 75 to 84 269
Number Of Beneficiaries Age Greater 84 126
Number Of Female Beneficiaries 299
Number Of Male Beneficiaries 529
Number Of Non Hispanic White Beneficiaries 779
Number Of Black or African American Beneficiaries 24
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 12
Number Of Beneficiaries With Medicare Only Entitlement 742
Number Of Beneficiaries With Medicare Medicaid Entitlement 86
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 8
Percent Of With Cancer 19
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 31
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 20
Percent Of With Diabetes 28
Percent Of With Hyperlipidemia 60
Percent Of With Hypertension 67
Percent Of With Ischemic Heart Disease 37
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.2742

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