National Provider Identifier [NPI]: |
1255398327 |
Last Name Of The Provider |
STRAUCH |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4437 STATE ROUTE 159 |
Street Address 2 Of The Provider |
SUITE G15 |
City Of The Provider |
CHILLICOTHE |
Zip Code Of The Provider |
45601 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Sports Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
2814.5 |
Number Of Medicare Beneficiaries |
643 |
Total Submitted Charge Amount |
248122.5 |
Total Medicare Allowed Amount |
146626.45 |
Total Medicare Payment Amount |
105577.27 |
Total Medicare Standardized Payment Amount |
107709.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1164.5 |
Number Of Medicare Beneficiaries With Drug Services |
129 |
Total Drug Submitted ChargeAmount |
46178.5 |
Total Drug Medicare AllowedAmount |
13576.34 |
Total Drug Medicare PaymentAmount |
9206.51 |
Total Drug Medicare Standardized Payment Amount |
9206.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
1650 |
Number Of Medicare Beneficiaries With Medical Services |
643 |
Total Medical Submitted Charge Amount |
201944 |
Total Medical Medicare Allowed Amount |
133050.11 |
Total Medical Medicare Payment Amount |
96370.76 |
Total Medical Medicare Standardized Payment Amount |
98503.32 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
206 |
Number Of Beneficiaries Age 65 to 74 |
242 |
Number Of Beneficiaries Age 75 to 84 |
124 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
423 |
Number Of Male Beneficiaries |
220 |
Number Of Non Hispanic White Beneficiaries |
620 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
383 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
260 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.284 |