National Provider Identifier [NPI]: |
1528009016 |
Last Name Of The Provider |
GUINN |
First Name Of The Provider |
VINCENT |
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 |
3433 AGLER RD |
Street Address 2 Of The Provider |
SUITE 2400 |
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
432193387 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
12046 |
Number Of Medicare Beneficiaries |
875 |
Total Submitted Charge Amount |
1102837 |
Total Medicare Allowed Amount |
557458.87 |
Total Medicare Payment Amount |
418263.47 |
Total Medicare Standardized Payment Amount |
440156.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
6735 |
Number Of Medicare Beneficiaries With Drug Services |
130 |
Total Drug Submitted ChargeAmount |
63391 |
Total Drug Medicare AllowedAmount |
18653.57 |
Total Drug Medicare PaymentAmount |
14515.1 |
Total Drug Medicare Standardized Payment Amount |
14515.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
5311 |
Number Of Medicare Beneficiaries With Medical Services |
875 |
Total Medical Submitted Charge Amount |
1039446 |
Total Medical Medicare Allowed Amount |
538805.3 |
Total Medical Medicare Payment Amount |
403748.37 |
Total Medical Medicare Standardized Payment Amount |
425641.24 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
212 |
Number Of Beneficiaries Age 65 to 74 |
293 |
Number Of Beneficiaries Age 75 to 84 |
242 |
Number Of Beneficiaries Age Greater 84 |
128 |
Number Of Female Beneficiaries |
498 |
Number Of Male Beneficiaries |
377 |
Number Of Non Hispanic White Beneficiaries |
535 |
Number Of Black or African American Beneficiaries |
312 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
523 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
352 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.8664 |