National Provider Identifier [NPI]: |
1750360079 |
Last Name Of The Provider |
YERGLER |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
53880 CARMICHAEL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOUTH BEND |
Zip Code Of The Provider |
466351567 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
8181 |
Number Of Medicare Beneficiaries |
1104 |
Total Submitted Charge Amount |
3471200.25 |
Total Medicare Allowed Amount |
614676.96 |
Total Medicare Payment Amount |
461082.94 |
Total Medicare Standardized Payment Amount |
495935.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
4004 |
Number Of Medicare Beneficiaries With Drug Services |
516 |
Total Drug Submitted ChargeAmount |
59823.4 |
Total Drug Medicare AllowedAmount |
13514.05 |
Total Drug Medicare PaymentAmount |
10220.59 |
Total Drug Medicare Standardized Payment Amount |
10220.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
109 |
Number Of Medical Services |
4177 |
Number Of Medicare Beneficiaries With Medical Services |
1104 |
Total Medical Submitted Charge Amount |
3411376.85 |
Total Medical Medicare Allowed Amount |
601162.91 |
Total Medical Medicare Payment Amount |
450862.35 |
Total Medical Medicare Standardized Payment Amount |
485714.54 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
113 |
Number Of Beneficiaries Age 65 to 74 |
534 |
Number Of Beneficiaries Age 75 to 84 |
349 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
673 |
Number Of Male Beneficiaries |
431 |
Number Of Non Hispanic White Beneficiaries |
1037 |
Number Of Black or African American Beneficiaries |
37 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1004 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0388 |