National Provider Identifier [NPI]: |
1831256510 |
Last Name Of The Provider |
MELZER |
First Name Of The Provider |
DARYL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13950 W CAPITOL DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BROOKFIELD |
Zip Code Of The Provider |
530052441 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
1435 |
Number Of Medicare Beneficiaries |
254 |
Total Submitted Charge Amount |
169846 |
Total Medicare Allowed Amount |
92308.28 |
Total Medicare Payment Amount |
67370.21 |
Total Medicare Standardized Payment Amount |
70292.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
254 |
Number Of Medicare Beneficiaries With Drug Services |
141 |
Total Drug Submitted ChargeAmount |
9367 |
Total Drug Medicare AllowedAmount |
6086.91 |
Total Drug Medicare PaymentAmount |
5602.04 |
Total Drug Medicare Standardized Payment Amount |
5602.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
1181 |
Number Of Medicare Beneficiaries With Medical Services |
254 |
Total Medical Submitted Charge Amount |
160479 |
Total Medical Medicare Allowed Amount |
86221.37 |
Total Medical Medicare Payment Amount |
61768.17 |
Total Medical Medicare Standardized Payment Amount |
64690.25 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
97 |
Number Of Beneficiaries Age 75 to 84 |
71 |
Number Of Beneficiaries Age Greater 84 |
68 |
Number Of Female Beneficiaries |
173 |
Number Of Male Beneficiaries |
81 |
Number Of Non Hispanic White Beneficiaries |
181 |
Number Of Black or African American Beneficiaries |
|
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 |
225 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
29 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1048 |