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Dr. Erik Joseph Modlo

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NPI Number Detailed Information

Provider Information:

Name: Dr. Erik Joseph Modlo
Gender: M
Provider License Number If Given: 35.097905

NPI Information:

NPI: 1164503082
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 10/18/2006

Last Update Date: 1/12/2016

Reputation Report:

Provider Business Mailing Address:

Address: 225 ELYRIA ST
Lodi, OH 44254
Phone Number: 3309489939
Fax Number: 3309482263

Provider Business Practice Location Address:

Address: 225 ELYRIA ST
Lodi, OH 44254
Phone Number: 3309489939
Fax Number: 3309482263

Provider Taxonomy:

Primary: 208G00000X
Secondary (if any): 208M00000X
State: OH

Top Doctors in OH

 

About Dr. Erik Joseph Modlo

Dr. Erik Joseph Modlo (DR. ERIK JOSEPH MODLO ) is A Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Lodi, OH. The NPI Number for Dr. Erik Joseph Modlo is 1164503082.
The current location address for Dr. Erik Joseph Modlo is 225 ELYRIA ST Lodi, OH 44254 and the contact number is 3309489939 and fax number is 3309482263. The mailing address for Dr. Erik Joseph Modlo is 225 ELYRIA ST Lodi, OH 44254- 3309489939 (mailing address contact number - 3309489939).
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Erik Joseph Modlo ?


Answer: The NPI Number for Dr. Erik Joseph Modlo is 1164503082

Where is Dr. Erik Joseph Modlo located?


Answer: Dr. Erik Joseph Modlo is located at 225 ELYRIA ST Lodi, OH 44254.

What is the specialty for Dr. Erik Joseph Modlo ?


Answer: The Specialty of Dr. Erik Joseph Modlo is A Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician.

Are there any online reviews for Dr. Erik Joseph Modlo ?


Answer: Yes! Check It Now.

Are there any other health care providers in Lodi, OH?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Erik Joseph Modlo

Number of HCPCS 27
Number of Medicare Beneficiaries 194
Number of Services 403
Total Submitted Charge Amount 53009.5
Total Medicare Allowed Amount 40851.68
Total Medicare Payment Amount 29800.56
Total Medicare Standardized Payment Amount 30549.11
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 5
Number of Medicare Beneficiaries With Drug Services 25
Number of Drug Services 54
Total Drug Submitted Charge Amount 2515.5
Total Drug Medicare Allowed Amount 1979.83
Total Drug Medicare Payment Amount 1971.58
Total Drug Medicare Standardized Payment Amount 1932.07
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 22
Number of Medicare Beneficiaries With Medical 194
Number of Medical Services 349
Total Medical Submitted Charge Amount 50494
Total Medical Medicare Allowed Amount 38871.85
Total Medical Medicare Payment Amount 27828.98
Total Medical Medicare Standardized Payment Amount 28617.04
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 122
Number of Beneficiaries Age 75 to 84 49
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 87
Number of Male Beneficiaries 107
Number of Non-Hispanic White Beneficiaries 157
Number of Black or African American Beneficiaries 16
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 12
Number of Beneficiaries With Medicare Only Entitlement 182
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.08
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.07
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0.07
Percent (%) of Beneficiaries Identified With Heart Failure 0.14
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.24
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.11
Percent (%) of Beneficiaries Identified With Depression 0.18
Percent (%) of Beneficiaries Identified With Diabetes 0.23
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.54
Percent (%) of Beneficiaries Identified With Hypertension 0.65
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.26
Percent (%) of Beneficiaries Identified With Osteoporosis 0.06
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.42
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.0039

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Internal Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 5572
Number of Standardized 30-Day Fills 14003.133333
Aggregate Cost Paid for All Claims 458468.81
Number of Day's Supply for All Claims 415488
Number of Medicare Beneficiaries 539
Number of Claims, Including Refills, for Beneficiaries Age 65+ 5135
Including Refills, for Beneficiaries Age 65+ 13132.933333
Beneficiaries Age 65+ 413563.25
Number of Day's Supply for All Claims for Beneficaries Age 65+ 389833
Number of Medicare Beneficiaries Age 65+ 496
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 672
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 4836
Aggregate Cost Paid for Generic Drugs 106153.17
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 64
Aggregate Cost Paid for Other Drugs 5032.13
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 2925
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 263856.15
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 2647
Aggregate Cost Paid for Claims Filled by 194612.66
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 858
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 114300.38
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 4714
by Low-Income Subsidy 344168.43
Total Claims of Opioid Drugs, Including 36
Aggregate Cost Paid for Opioid Drugs 257.66
Opioid Claims 14
Opioid_Tot_Clms divided by the Tot_Clms 0.6460875808
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 59
Aggregate Cost Paid for Antibiotic Drugs 12299.5
Antibiotic Claims 43
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 72.155844156
Number of Beneficiaries Age Less Than 65 43
Number of Beneficiaries Age 65 to 74 308
Number of Beneficiaries Age 75 to 84 136
Number of Female Beneficiaries 272
Number of Male Beneficiaries 267
Number of Non-Hispanic White 445
Number of Black or African American 64
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 19
Only Entitlement 478
Average Hierarchical Condition Category 1.0977557428

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