National Provider Identifier [NPI]: |
1164634689 |
Last Name Of The Provider |
HECKLER |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7677 YANKEE ST |
Street Address 2 Of The Provider |
SUITE 110 |
City Of The Provider |
CENTERVILLE |
Zip Code Of The Provider |
454593475 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
116 |
Number Of Services |
1962 |
Number Of Medicare Beneficiaries |
418 |
Total Submitted Charge Amount |
985977 |
Total Medicare Allowed Amount |
279104.18 |
Total Medicare Payment Amount |
208439.37 |
Total Medicare Standardized Payment Amount |
218236.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
245 |
Number Of Medicare Beneficiaries With Drug Services |
130 |
Total Drug Submitted ChargeAmount |
25566 |
Total Drug Medicare AllowedAmount |
6371.06 |
Total Drug Medicare PaymentAmount |
4804.14 |
Total Drug Medicare Standardized Payment Amount |
4804.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
112 |
Number Of Medical Services |
1717 |
Number Of Medicare Beneficiaries With Medical Services |
418 |
Total Medical Submitted Charge Amount |
960411 |
Total Medical Medicare Allowed Amount |
272733.12 |
Total Medical Medicare Payment Amount |
203635.23 |
Total Medical Medicare Standardized Payment Amount |
213432.39 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
188 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
40 |
Number Of Female Beneficiaries |
274 |
Number Of Male Beneficiaries |
144 |
Number Of Non Hispanic White Beneficiaries |
391 |
Number Of Black or African American Beneficiaries |
|
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 |
347 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
71 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2235 |