National Provider Identifier [NPI]: |
1053386540 |
Last Name Of The Provider |
NG |
First Name Of The Provider |
SILVANIA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10495 MONTGOMERY RD |
Street Address 2 Of The Provider |
SUITE 17 |
City Of The Provider |
CINCINNATI |
Zip Code Of The Provider |
452424468 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
1242 |
Number Of Medicare Beneficiaries |
337 |
Total Submitted Charge Amount |
128750.5 |
Total Medicare Allowed Amount |
97187.28 |
Total Medicare Payment Amount |
74331.17 |
Total Medicare Standardized Payment Amount |
77026.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
33 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
1222.5 |
Total Drug Medicare AllowedAmount |
669.56 |
Total Drug Medicare PaymentAmount |
650.2 |
Total Drug Medicare Standardized Payment Amount |
650.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
1209 |
Number Of Medicare Beneficiaries With Medical Services |
337 |
Total Medical Submitted Charge Amount |
127528 |
Total Medical Medicare Allowed Amount |
96517.72 |
Total Medical Medicare Payment Amount |
73680.97 |
Total Medical Medicare Standardized Payment Amount |
76376.31 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
131 |
Number Of Beneficiaries Age 75 to 84 |
88 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
172 |
Number Of Male Beneficiaries |
165 |
Number Of Non Hispanic White Beneficiaries |
293 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
229 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
108 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
69 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.9772 |