National Provider Identifier [NPI]: |
1093747974 |
Last Name Of The Provider |
DEUTCH |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6780 MAYFIELD RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MAYFIELD HTS |
Zip Code Of The Provider |
441242203 |
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 |
172 |
Number Of Services |
3829 |
Number Of Medicare Beneficiaries |
2210 |
Total Submitted Charge Amount |
385599.44 |
Total Medicare Allowed Amount |
117228.65 |
Total Medicare Payment Amount |
91299.38 |
Total Medicare Standardized Payment Amount |
93321.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
172 |
Number Of Medical Services |
3829 |
Number Of Medicare Beneficiaries With Medical Services |
2210 |
Total Medical Submitted Charge Amount |
385599.44 |
Total Medical Medicare Allowed Amount |
117228.65 |
Total Medical Medicare Payment Amount |
91299.38 |
Total Medical Medicare Standardized Payment Amount |
93321.66 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
434 |
Number Of Beneficiaries Age 65 to 74 |
771 |
Number Of Beneficiaries Age 75 to 84 |
643 |
Number Of Beneficiaries Age Greater 84 |
362 |
Number Of Female Beneficiaries |
1410 |
Number Of Male Beneficiaries |
800 |
Number Of Non Hispanic White Beneficiaries |
2053 |
Number Of Black or African American Beneficiaries |
114 |
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 |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1601 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
609 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5051 |