National Provider Identifier [NPI]: |
1427015486 |
Last Name Of The Provider |
SMITH |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
101 HOSPITAL BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
JEFFERSONVILLE |
Zip Code Of The Provider |
471303769 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
139 |
Number Of Services |
9691 |
Number Of Medicare Beneficiaries |
1232 |
Total Submitted Charge Amount |
1007608.4 |
Total Medicare Allowed Amount |
478420.94 |
Total Medicare Payment Amount |
359969.41 |
Total Medicare Standardized Payment Amount |
386616.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
3006 |
Number Of Medicare Beneficiaries With Drug Services |
95 |
Total Drug Submitted ChargeAmount |
94807 |
Total Drug Medicare AllowedAmount |
65848.25 |
Total Drug Medicare PaymentAmount |
50952.24 |
Total Drug Medicare Standardized Payment Amount |
50952.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
130 |
Number Of Medical Services |
6685 |
Number Of Medicare Beneficiaries With Medical Services |
1232 |
Total Medical Submitted Charge Amount |
912801.4 |
Total Medical Medicare Allowed Amount |
412572.69 |
Total Medical Medicare Payment Amount |
309017.17 |
Total Medical Medicare Standardized Payment Amount |
335664.62 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
128 |
Number Of Beneficiaries Age 65 to 74 |
572 |
Number Of Beneficiaries Age 75 to 84 |
400 |
Number Of Beneficiaries Age Greater 84 |
132 |
Number Of Female Beneficiaries |
351 |
Number Of Male Beneficiaries |
881 |
Number Of Non Hispanic White Beneficiaries |
1135 |
Number Of Black or African American Beneficiaries |
64 |
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 |
1091 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
141 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
25 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2603 |