National Provider Identifier [NPI]: |
1295985349 |
Last Name Of The Provider |
SZEPIELA |
First Name Of The Provider |
RYAN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2865 N REYNOLDS RD |
Street Address 2 Of The Provider |
SUITE 160 |
City Of The Provider |
TOLEDO |
Zip Code Of The Provider |
436152068 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
3916 |
Number Of Medicare Beneficiaries |
417 |
Total Submitted Charge Amount |
386752 |
Total Medicare Allowed Amount |
170199.03 |
Total Medicare Payment Amount |
123239.14 |
Total Medicare Standardized Payment Amount |
128409.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
2276 |
Number Of Medicare Beneficiaries With Drug Services |
160 |
Total Drug Submitted ChargeAmount |
59287 |
Total Drug Medicare AllowedAmount |
25339.24 |
Total Drug Medicare PaymentAmount |
19834.56 |
Total Drug Medicare Standardized Payment Amount |
19834.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
1640 |
Number Of Medicare Beneficiaries With Medical Services |
417 |
Total Medical Submitted Charge Amount |
327465 |
Total Medical Medicare Allowed Amount |
144859.79 |
Total Medical Medicare Payment Amount |
103404.58 |
Total Medical Medicare Standardized Payment Amount |
108574.82 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
174 |
Number Of Beneficiaries Age 75 to 84 |
88 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
232 |
Number Of Male Beneficiaries |
185 |
Number Of Non Hispanic White Beneficiaries |
336 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
322 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
95 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
29 |
Average HCC Risk Score Of Beneficiaries |
1.3676 |