National Provider Identifier [NPI]: |
1982690566 |
Last Name Of The Provider |
HUGHES |
First Name Of The Provider |
RANDAL |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7747 W JEFFERSON BLVD |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
FORT WAYNE |
Zip Code Of The Provider |
468044135 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
3567 |
Number Of Medicare Beneficiaries |
1131 |
Total Submitted Charge Amount |
3928279 |
Total Medicare Allowed Amount |
999598.24 |
Total Medicare Payment Amount |
768594.91 |
Total Medicare Standardized Payment Amount |
826447.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
3567 |
Number Of Medicare Beneficiaries With Medical Services |
1131 |
Total Medical Submitted Charge Amount |
3928279 |
Total Medical Medicare Allowed Amount |
999598.24 |
Total Medical Medicare Payment Amount |
768594.91 |
Total Medical Medicare Standardized Payment Amount |
826447.84 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
511 |
Number Of Beneficiaries Age 75 to 84 |
381 |
Number Of Beneficiaries Age Greater 84 |
144 |
Number Of Female Beneficiaries |
695 |
Number Of Male Beneficiaries |
436 |
Number Of Non Hispanic White Beneficiaries |
1024 |
Number Of Black or African American Beneficiaries |
64 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
931 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
200 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1582 |