National Provider Identifier [NPI]: |
1285757856 |
Last Name Of The Provider |
BOHYER |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1801 SENATE BLVD |
Street Address 2 Of The Provider |
745 |
City Of The Provider |
INDIANAPOLIS |
Zip Code Of The Provider |
462021228 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
2593 |
Number Of Medicare Beneficiaries |
659 |
Total Submitted Charge Amount |
455000 |
Total Medicare Allowed Amount |
151951.66 |
Total Medicare Payment Amount |
106557.1 |
Total Medicare Standardized Payment Amount |
113905.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
112 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
1872 |
Total Drug Medicare AllowedAmount |
1093.3 |
Total Drug Medicare PaymentAmount |
847.58 |
Total Drug Medicare Standardized Payment Amount |
847.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
2481 |
Number Of Medicare Beneficiaries With Medical Services |
659 |
Total Medical Submitted Charge Amount |
453128 |
Total Medical Medicare Allowed Amount |
150858.36 |
Total Medical Medicare Payment Amount |
105709.52 |
Total Medical Medicare Standardized Payment Amount |
113057.66 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
115 |
Number Of Beneficiaries Age 65 to 74 |
306 |
Number Of Beneficiaries Age 75 to 84 |
172 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
356 |
Number Of Male Beneficiaries |
303 |
Number Of Non Hispanic White Beneficiaries |
574 |
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 |
544 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
115 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2232 |