National Provider Identifier [NPI]: |
1023073905 |
Last Name Of The Provider |
FARHEY |
First Name Of The Provider |
YOLANDA |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2123 AUBURN AVE |
Street Address 2 Of The Provider |
STE 630 |
City Of The Provider |
CINCINNATI |
Zip Code Of The Provider |
452192906 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
3980 |
Number Of Medicare Beneficiaries |
236 |
Total Submitted Charge Amount |
255670 |
Total Medicare Allowed Amount |
164293.85 |
Total Medicare Payment Amount |
122036.6 |
Total Medicare Standardized Payment Amount |
124779.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
3290 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
131770 |
Total Drug Medicare AllowedAmount |
97703.13 |
Total Drug Medicare PaymentAmount |
76236.19 |
Total Drug Medicare Standardized Payment Amount |
76236.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
690 |
Number Of Medicare Beneficiaries With Medical Services |
236 |
Total Medical Submitted Charge Amount |
123900 |
Total Medical Medicare Allowed Amount |
66590.72 |
Total Medical Medicare Payment Amount |
45800.41 |
Total Medical Medicare Standardized Payment Amount |
48543.52 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
100 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
177 |
Number Of Male Beneficiaries |
59 |
Number Of Non Hispanic White Beneficiaries |
158 |
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 |
156 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
80 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5792 |