National Provider Identifier [NPI]: |
1558397844 |
Last Name Of The Provider |
QUADE |
First Name Of The Provider |
ASHLEY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
P.A.-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8240 NAAB RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
INDIANAPOLIS |
Zip Code Of The Provider |
462605927 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
6120 |
Number Of Medicare Beneficiaries |
778 |
Total Submitted Charge Amount |
355240 |
Total Medicare Allowed Amount |
130509.61 |
Total Medicare Payment Amount |
98304.25 |
Total Medicare Standardized Payment Amount |
107143.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
3567 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
159620 |
Total Drug Medicare AllowedAmount |
65861.79 |
Total Drug Medicare PaymentAmount |
50197.78 |
Total Drug Medicare Standardized Payment Amount |
50197.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
2553 |
Number Of Medicare Beneficiaries With Medical Services |
778 |
Total Medical Submitted Charge Amount |
195620 |
Total Medical Medicare Allowed Amount |
64647.82 |
Total Medical Medicare Payment Amount |
48106.47 |
Total Medical Medicare Standardized Payment Amount |
56945.62 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
394 |
Number Of Beneficiaries Age 75 to 84 |
280 |
Number Of Beneficiaries Age Greater 84 |
84 |
Number Of Female Beneficiaries |
174 |
Number Of Male Beneficiaries |
604 |
Number Of Non Hispanic White Beneficiaries |
669 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
82 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
761 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
30 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1705 |