National Provider Identifier [NPI]: |
1134333289 |
Last Name Of The Provider |
FELDMAN |
First Name Of The Provider |
CHAD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
141 W 22ND ST STE 109 |
Street Address 2 Of The Provider |
|
City Of The Provider |
ANDERSON |
Zip Code Of The Provider |
460164315 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
5084 |
Number Of Medicare Beneficiaries |
2217 |
Total Submitted Charge Amount |
922022 |
Total Medicare Allowed Amount |
214268.21 |
Total Medicare Payment Amount |
155477.16 |
Total Medicare Standardized Payment Amount |
158746.64 |
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 |
44 |
Number Of Medical Services |
5084 |
Number Of Medicare Beneficiaries With Medical Services |
2217 |
Total Medical Submitted Charge Amount |
922022 |
Total Medical Medicare Allowed Amount |
214268.21 |
Total Medical Medicare Payment Amount |
155477.16 |
Total Medical Medicare Standardized Payment Amount |
158746.64 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
408 |
Number Of Beneficiaries Age 65 to 74 |
763 |
Number Of Beneficiaries Age 75 to 84 |
640 |
Number Of Beneficiaries Age Greater 84 |
406 |
Number Of Female Beneficiaries |
1184 |
Number Of Male Beneficiaries |
1033 |
Number Of Non Hispanic White Beneficiaries |
2023 |
Number Of Black or African American Beneficiaries |
154 |
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 |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1689 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
528 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5564 |