National Provider Identifier [NPI]: |
1568493096 |
Last Name Of The Provider |
HOWE |
First Name Of The Provider |
CHARLES |
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 |
1210 MEDICAL ARTS BLVD |
Street Address 2 Of The Provider |
SUITE 114 |
City Of The Provider |
ANDERSON |
Zip Code Of The Provider |
460113442 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
5878 |
Number Of Medicare Beneficiaries |
946 |
Total Submitted Charge Amount |
1109838 |
Total Medicare Allowed Amount |
385167.74 |
Total Medicare Payment Amount |
283230.37 |
Total Medicare Standardized Payment Amount |
281532.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1306 |
Number Of Medicare Beneficiaries With Drug Services |
150 |
Total Drug Submitted ChargeAmount |
4968 |
Total Drug Medicare AllowedAmount |
2328.78 |
Total Drug Medicare PaymentAmount |
1725.3 |
Total Drug Medicare Standardized Payment Amount |
1725.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
4572 |
Number Of Medicare Beneficiaries With Medical Services |
946 |
Total Medical Submitted Charge Amount |
1104870 |
Total Medical Medicare Allowed Amount |
382838.96 |
Total Medical Medicare Payment Amount |
281505.07 |
Total Medical Medicare Standardized Payment Amount |
279807.52 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
357 |
Number Of Beneficiaries Age 65 to 74 |
272 |
Number Of Beneficiaries Age 75 to 84 |
219 |
Number Of Beneficiaries Age Greater 84 |
98 |
Number Of Female Beneficiaries |
582 |
Number Of Male Beneficiaries |
364 |
Number Of Non Hispanic White Beneficiaries |
868 |
Number Of Black or African American Beneficiaries |
66 |
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 |
620 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
326 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.481 |