National Provider Identifier [NPI]: |
1053346213 |
Last Name Of The Provider |
MARCHIONI |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1316 E SEVENTH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
AUBURN |
Zip Code Of The Provider |
467060543 |
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 |
167 |
Number Of Services |
6173 |
Number Of Medicare Beneficiaries |
3498 |
Total Submitted Charge Amount |
1111989 |
Total Medicare Allowed Amount |
164420.07 |
Total Medicare Payment Amount |
129434.37 |
Total Medicare Standardized Payment Amount |
135134.83 |
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 |
167 |
Number Of Medical Services |
6173 |
Number Of Medicare Beneficiaries With Medical Services |
3498 |
Total Medical Submitted Charge Amount |
1111989 |
Total Medical Medicare Allowed Amount |
164420.07 |
Total Medical Medicare Payment Amount |
129434.37 |
Total Medical Medicare Standardized Payment Amount |
135134.83 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
709 |
Number Of Beneficiaries Age 65 to 74 |
1118 |
Number Of Beneficiaries Age 75 to 84 |
1020 |
Number Of Beneficiaries Age Greater 84 |
651 |
Number Of Female Beneficiaries |
2081 |
Number Of Male Beneficiaries |
1417 |
Number Of Non Hispanic White Beneficiaries |
2871 |
Number Of Black or African American Beneficiaries |
441 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
150 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2519 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
979 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7786 |