National Provider Identifier [NPI]: |
1154367282 |
Last Name Of The Provider |
HUFFMAN |
First Name Of The Provider |
BRENT |
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 |
1111 RONALD REAGAN PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
AVON |
Zip Code Of The Provider |
461237085 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
3610 |
Number Of Medicare Beneficiaries |
469 |
Total Submitted Charge Amount |
288242 |
Total Medicare Allowed Amount |
134740.65 |
Total Medicare Payment Amount |
99353.71 |
Total Medicare Standardized Payment Amount |
104644.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2536 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
25335 |
Total Drug Medicare AllowedAmount |
13811.2 |
Total Drug Medicare PaymentAmount |
10815.55 |
Total Drug Medicare Standardized Payment Amount |
10815.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
1074 |
Number Of Medicare Beneficiaries With Medical Services |
469 |
Total Medical Submitted Charge Amount |
262907 |
Total Medical Medicare Allowed Amount |
120929.45 |
Total Medical Medicare Payment Amount |
88538.16 |
Total Medical Medicare Standardized Payment Amount |
93828.63 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
137 |
Number Of Beneficiaries Age 65 to 74 |
148 |
Number Of Beneficiaries Age 75 to 84 |
123 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
297 |
Number Of Male Beneficiaries |
172 |
Number Of Non Hispanic White Beneficiaries |
417 |
Number Of Black or African American Beneficiaries |
32 |
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 |
326 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
143 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
23 |
Average HCC Risk Score Of Beneficiaries |
1.4655 |