National Provider Identifier [NPI]: |
1396784641 |
Last Name Of The Provider |
REINHART |
First Name Of The Provider |
SHAWN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
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 |
166 |
Number Of Services |
5924 |
Number Of Medicare Beneficiaries |
3959 |
Total Submitted Charge Amount |
484131 |
Total Medicare Allowed Amount |
148456.77 |
Total Medicare Payment Amount |
116481.69 |
Total Medicare Standardized Payment Amount |
119704.01 |
Drug Suppress Indicator |
* |
Number Of HCPCS Associated With Drug Services |
|
Number Of Drug Services |
|
Number Of Medicare Beneficiaries With Drug Services |
|
Total Drug Submitted ChargeAmount |
|
Total Drug Medicare AllowedAmount |
|
Total Drug Medicare PaymentAmount |
|
Total Drug Medicare Standardized Payment Amount |
|
Medical SuppressIndicator |
# |
Number Of HCPCS Associated With MedicalServices |
|
Number Of Medical Services |
|
Number Of Medicare Beneficiaries With Medical Services |
|
Total Medical Submitted Charge Amount |
|
Total Medical Medicare Allowed Amount |
|
Total Medical Medicare Payment Amount |
|
Total Medical Medicare Standardized Payment Amount |
|
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
631 |
Number Of Beneficiaries Age 65 to 74 |
1568 |
Number Of Beneficiaries Age 75 to 84 |
1134 |
Number Of Beneficiaries Age Greater 84 |
626 |
Number Of Female Beneficiaries |
2731 |
Number Of Male Beneficiaries |
1228 |
Number Of Non Hispanic White Beneficiaries |
3208 |
Number Of Black or African American Beneficiaries |
647 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
56 |
Number Of Beneficiaries With Medicare Only Entitlement |
3139 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
820 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.7758 |