National Provider Identifier [NPI]: |
1275532111 |
Last Name Of The Provider |
BRITTAIN |
First Name Of The Provider |
RICK |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 WYOMING ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
DAYTON |
Zip Code Of The Provider |
454092722 |
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 |
248 |
Number Of Services |
7496 |
Number Of Medicare Beneficiaries |
3674 |
Total Submitted Charge Amount |
995912 |
Total Medicare Allowed Amount |
240038.86 |
Total Medicare Payment Amount |
184654.69 |
Total Medicare Standardized Payment Amount |
190155.63 |
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 |
248 |
Number Of Medical Services |
7496 |
Number Of Medicare Beneficiaries With Medical Services |
3674 |
Total Medical Submitted Charge Amount |
995912 |
Total Medical Medicare Allowed Amount |
240038.86 |
Total Medical Medicare Payment Amount |
184654.69 |
Total Medical Medicare Standardized Payment Amount |
190155.63 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
912 |
Number Of Beneficiaries Age 65 to 74 |
1133 |
Number Of Beneficiaries Age 75 to 84 |
1016 |
Number Of Beneficiaries Age Greater 84 |
613 |
Number Of Female Beneficiaries |
2039 |
Number Of Male Beneficiaries |
1635 |
Number Of Non Hispanic White Beneficiaries |
3039 |
Number Of Black or African American Beneficiaries |
534 |
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
53 |
Number Of Beneficiaries With Medicare Only Entitlement |
2493 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1181 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.995 |