National Provider Identifier [NPI]: |
1124290168 |
Last Name Of The Provider |
UVIEGHARA |
First Name Of The Provider |
ANTHONY |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
901 SAINT MARYS DR |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
EVANSVILLE |
Zip Code Of The Provider |
477140520 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
2061 |
Number Of Medicare Beneficiaries |
566 |
Total Submitted Charge Amount |
450763 |
Total Medicare Allowed Amount |
183865.6 |
Total Medicare Payment Amount |
139594.8 |
Total Medicare Standardized Payment Amount |
148190.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
14 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
406 |
Total Drug Medicare AllowedAmount |
340.5 |
Total Drug Medicare PaymentAmount |
333.66 |
Total Drug Medicare Standardized Payment Amount |
333.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
2047 |
Number Of Medicare Beneficiaries With Medical Services |
566 |
Total Medical Submitted Charge Amount |
450357 |
Total Medical Medicare Allowed Amount |
183525.1 |
Total Medical Medicare Payment Amount |
139261.14 |
Total Medical Medicare Standardized Payment Amount |
147856.81 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
102 |
Number Of Beneficiaries Age 65 to 74 |
247 |
Number Of Beneficiaries Age 75 to 84 |
161 |
Number Of Beneficiaries Age Greater 84 |
56 |
Number Of Female Beneficiaries |
290 |
Number Of Male Beneficiaries |
276 |
Number Of Non Hispanic White Beneficiaries |
531 |
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 |
431 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
135 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
58 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.8667 |