National Provider Identifier [NPI]: |
1598746109 |
Last Name Of The Provider |
CYTRYNOWICZ |
First Name Of The Provider |
KARL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
330 N WABASH AVE |
Street Address 2 Of The Provider |
STE 370 |
City Of The Provider |
MARION |
Zip Code Of The Provider |
469522600 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
2183 |
Number Of Medicare Beneficiaries |
636 |
Total Submitted Charge Amount |
213651 |
Total Medicare Allowed Amount |
184645.61 |
Total Medicare Payment Amount |
127968.68 |
Total Medicare Standardized Payment Amount |
138200.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
100 |
Number Of Medicare Beneficiaries With Drug Services |
74 |
Total Drug Submitted ChargeAmount |
3173 |
Total Drug Medicare AllowedAmount |
2322.59 |
Total Drug Medicare PaymentAmount |
2242.66 |
Total Drug Medicare Standardized Payment Amount |
2242.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
2083 |
Number Of Medicare Beneficiaries With Medical Services |
636 |
Total Medical Submitted Charge Amount |
210478 |
Total Medical Medicare Allowed Amount |
182323.02 |
Total Medical Medicare Payment Amount |
125726.02 |
Total Medical Medicare Standardized Payment Amount |
135958.02 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
200 |
Number Of Beneficiaries Age 65 to 74 |
241 |
Number Of Beneficiaries Age 75 to 84 |
126 |
Number Of Beneficiaries Age Greater 84 |
69 |
Number Of Female Beneficiaries |
368 |
Number Of Male Beneficiaries |
268 |
Number Of Non Hispanic White Beneficiaries |
561 |
Number Of Black or African American Beneficiaries |
59 |
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 |
253 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3353 |