| National Provider Identifier [NPI]: | 1598756256 |
| Last Name Of The Provider | KNELLER |
| First Name Of The Provider | G |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 900 I ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | LAPORTE |
| Zip Code Of The Provider | 463505533 |
| 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 | 201 |
| Number Of Services | 59884 |
| Number Of Medicare Beneficiaries | 8058 |
| Total Submitted Charge Amount | 2303598 |
| Total Medicare Allowed Amount | 824776.77 |
| Total Medicare Payment Amount | 741980.97 |
| Total Medicare Standardized Payment Amount | 758425.75 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 15 |
| Number Of Drug Services | 2891 |
| Number Of Medicare Beneficiaries With Drug Services | 278 |
| Total Drug Submitted ChargeAmount | 37456 |
| Total Drug Medicare AllowedAmount | 17457.23 |
| Total Drug Medicare PaymentAmount | 14587.88 |
| Total Drug Medicare Standardized Payment Amount | 14587.88 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 186 |
| Number Of Medical Services | 56993 |
| Number Of Medicare Beneficiaries With Medical Services | 8058 |
| Total Medical Submitted Charge Amount | 2266142 |
| Total Medical Medicare Allowed Amount | 807319.54 |
| Total Medical Medicare Payment Amount | 727393.09 |
| Total Medical Medicare Standardized Payment Amount | 743837.87 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1015 |
| Number Of Beneficiaries Age 65 to 74 | 3319 |
| Number Of Beneficiaries Age 75 to 84 | 2394 |
| Number Of Beneficiaries Age Greater 84 | 1330 |
| Number Of Female Beneficiaries | 4633 |
| Number Of Male Beneficiaries | 3425 |
| Number Of Non Hispanic White Beneficiaries | 7336 |
| Number Of Black or African American Beneficiaries | 457 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 115 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 105 |
| Number Of Beneficiaries With Medicare Only Entitlement | 6911 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1147 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 16 |
| Percent Of With Chronic Kidney Disease | 20 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 17 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 52 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 32 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 33 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.034 |