National Provider Identifier [NPI]: |
1538181359 |
Last Name Of The Provider |
MARCHAND |
First Name Of The Provider |
HECTOR |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2000 ROOSEVELT RD |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
VALPARAISO |
Zip Code Of The Provider |
463832800 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
6027 |
Number Of Medicare Beneficiaries |
1818 |
Total Submitted Charge Amount |
1971831 |
Total Medicare Allowed Amount |
590181.54 |
Total Medicare Payment Amount |
428057.21 |
Total Medicare Standardized Payment Amount |
461888.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
384 |
Number Of Medicare Beneficiaries With Drug Services |
104 |
Total Drug Submitted ChargeAmount |
47584 |
Total Drug Medicare AllowedAmount |
20005.34 |
Total Drug Medicare PaymentAmount |
15360.35 |
Total Drug Medicare Standardized Payment Amount |
15360.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
5643 |
Number Of Medicare Beneficiaries With Medical Services |
1818 |
Total Medical Submitted Charge Amount |
1924247 |
Total Medical Medicare Allowed Amount |
570176.2 |
Total Medical Medicare Payment Amount |
412696.86 |
Total Medical Medicare Standardized Payment Amount |
446527.75 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
168 |
Number Of Beneficiaries Age 65 to 74 |
693 |
Number Of Beneficiaries Age 75 to 84 |
646 |
Number Of Beneficiaries Age Greater 84 |
311 |
Number Of Female Beneficiaries |
914 |
Number Of Male Beneficiaries |
904 |
Number Of Non Hispanic White Beneficiaries |
1745 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
44 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1610 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
208 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6104 |