National Provider Identifier [NPI]: |
1275588311 |
Last Name Of The Provider |
ERNST |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9825 KENWOOD RD |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
BLUE ASH |
Zip Code Of The Provider |
452426251 |
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 |
130 |
Number Of Services |
4123 |
Number Of Medicare Beneficiaries |
2434 |
Total Submitted Charge Amount |
756528 |
Total Medicare Allowed Amount |
185645.18 |
Total Medicare Payment Amount |
138722.52 |
Total Medicare Standardized Payment Amount |
145461.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
577 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
2885 |
Total Drug Medicare AllowedAmount |
1138.65 |
Total Drug Medicare PaymentAmount |
892.69 |
Total Drug Medicare Standardized Payment Amount |
892.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
129 |
Number Of Medical Services |
3546 |
Number Of Medicare Beneficiaries With Medical Services |
2434 |
Total Medical Submitted Charge Amount |
753643 |
Total Medical Medicare Allowed Amount |
184506.53 |
Total Medical Medicare Payment Amount |
137829.83 |
Total Medical Medicare Standardized Payment Amount |
144568.6 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
508 |
Number Of Beneficiaries Age 65 to 74 |
876 |
Number Of Beneficiaries Age 75 to 84 |
688 |
Number Of Beneficiaries Age Greater 84 |
362 |
Number Of Female Beneficiaries |
1406 |
Number Of Male Beneficiaries |
1028 |
Number Of Non Hispanic White Beneficiaries |
2064 |
Number Of Black or African American Beneficiaries |
296 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
42 |
Number Of Beneficiaries With Medicare Only Entitlement |
1906 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
528 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.719 |