National Provider Identifier [NPI]: |
1952378531 |
Last Name Of The Provider |
GAERTE |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11900 N PENNSYLVANIA STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
CARMEL |
Zip Code Of The Provider |
460324694 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
102 |
Number Of Services |
3331 |
Number Of Medicare Beneficiaries |
745 |
Total Submitted Charge Amount |
639903 |
Total Medicare Allowed Amount |
87384.46 |
Total Medicare Payment Amount |
65455.25 |
Total Medicare Standardized Payment Amount |
70564.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
2421 |
Number Of Medicare Beneficiaries With Drug Services |
81 |
Total Drug Submitted ChargeAmount |
23252 |
Total Drug Medicare AllowedAmount |
1218.14 |
Total Drug Medicare PaymentAmount |
950.26 |
Total Drug Medicare Standardized Payment Amount |
950.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
910 |
Number Of Medicare Beneficiaries With Medical Services |
745 |
Total Medical Submitted Charge Amount |
616651 |
Total Medical Medicare Allowed Amount |
86166.32 |
Total Medical Medicare Payment Amount |
64504.99 |
Total Medical Medicare Standardized Payment Amount |
69614.27 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
111 |
Number Of Beneficiaries Age 65 to 74 |
424 |
Number Of Beneficiaries Age 75 to 84 |
158 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
425 |
Number Of Male Beneficiaries |
320 |
Number Of Non Hispanic White Beneficiaries |
679 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
651 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
94 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0003 |