National Provider Identifier [NPI]: |
1902857147 |
Last Name Of The Provider |
FRENCH |
First Name Of The Provider |
ADAM |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2300 MARKET ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHARLESTOWN |
Zip Code Of The Provider |
471119810 |
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 |
52 |
Number Of Services |
5300 |
Number Of Medicare Beneficiaries |
950 |
Total Submitted Charge Amount |
456047 |
Total Medicare Allowed Amount |
341618.65 |
Total Medicare Payment Amount |
262116.27 |
Total Medicare Standardized Payment Amount |
228630.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
46 |
Number Of Medicare Beneficiaries With Drug Services |
39 |
Total Drug Submitted ChargeAmount |
1850 |
Total Drug Medicare AllowedAmount |
1427.6 |
Total Drug Medicare PaymentAmount |
1388.02 |
Total Drug Medicare Standardized Payment Amount |
1388.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
5254 |
Number Of Medicare Beneficiaries With Medical Services |
950 |
Total Medical Submitted Charge Amount |
454197 |
Total Medical Medicare Allowed Amount |
340191.05 |
Total Medical Medicare Payment Amount |
260728.25 |
Total Medical Medicare Standardized Payment Amount |
227242.12 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
131 |
Number Of Beneficiaries Age 65 to 74 |
307 |
Number Of Beneficiaries Age 75 to 84 |
323 |
Number Of Beneficiaries Age Greater 84 |
189 |
Number Of Female Beneficiaries |
538 |
Number Of Male Beneficiaries |
412 |
Number Of Non Hispanic White Beneficiaries |
894 |
Number Of Black or African American Beneficiaries |
37 |
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 |
416 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
534 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
60 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
54 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
35 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9943 |