National Provider Identifier [NPI]: |
1831270206 |
Last Name Of The Provider |
LANG |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
310 MEDICAL DR |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
CARMEL |
Zip Code Of The Provider |
460323077 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
1083 |
Number Of Medicare Beneficiaries |
228 |
Total Submitted Charge Amount |
95113 |
Total Medicare Allowed Amount |
52815 |
Total Medicare Payment Amount |
35042.36 |
Total Medicare Standardized Payment Amount |
38850.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
60 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
6299 |
Total Drug Medicare AllowedAmount |
4416.16 |
Total Drug Medicare PaymentAmount |
4176.87 |
Total Drug Medicare Standardized Payment Amount |
4176.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1023 |
Number Of Medicare Beneficiaries With Medical Services |
228 |
Total Medical Submitted Charge Amount |
88814 |
Total Medical Medicare Allowed Amount |
48398.84 |
Total Medical Medicare Payment Amount |
30865.49 |
Total Medical Medicare Standardized Payment Amount |
34673.65 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
12 |
Number Of Beneficiaries Age 65 to 74 |
156 |
Number Of Beneficiaries Age 75 to 84 |
48 |
Number Of Beneficiaries Age Greater 84 |
12 |
Number Of Female Beneficiaries |
109 |
Number Of Male Beneficiaries |
119 |
Number Of Non Hispanic White Beneficiaries |
209 |
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 |
216 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
12 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
8 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.6255 |