National Provider Identifier [NPI]: |
1942399720 |
Last Name Of The Provider |
PAHNER |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 E SPRING ST |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
NEW ALBANY |
Zip Code Of The Provider |
471502926 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
1644 |
Number Of Medicare Beneficiaries |
1052 |
Total Submitted Charge Amount |
915263.8 |
Total Medicare Allowed Amount |
174392.78 |
Total Medicare Payment Amount |
130625.98 |
Total Medicare Standardized Payment Amount |
136218.56 |
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 |
49 |
Number Of Medical Services |
1644 |
Number Of Medicare Beneficiaries With Medical Services |
1052 |
Total Medical Submitted Charge Amount |
915263.8 |
Total Medical Medicare Allowed Amount |
174392.78 |
Total Medical Medicare Payment Amount |
130625.98 |
Total Medical Medicare Standardized Payment Amount |
136218.56 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
370 |
Number Of Beneficiaries Age 65 to 74 |
270 |
Number Of Beneficiaries Age 75 to 84 |
258 |
Number Of Beneficiaries Age Greater 84 |
154 |
Number Of Female Beneficiaries |
584 |
Number Of Male Beneficiaries |
468 |
Number Of Non Hispanic White Beneficiaries |
935 |
Number Of Black or African American Beneficiaries |
104 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
609 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
443 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
19 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.0024 |