National Provider Identifier [NPI]: |
1881698454 |
Last Name Of The Provider |
STROBEL |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1400 N RITTER AVE |
Street Address 2 Of The Provider |
STE 120 |
City Of The Provider |
INDIANAPOLIS |
Zip Code Of The Provider |
462193045 |
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 |
50 |
Number Of Services |
15231 |
Number Of Medicare Beneficiaries |
730 |
Total Submitted Charge Amount |
966593.36 |
Total Medicare Allowed Amount |
378899.86 |
Total Medicare Payment Amount |
288606.54 |
Total Medicare Standardized Payment Amount |
296471.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
13105 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
352006.36 |
Total Drug Medicare AllowedAmount |
149446.81 |
Total Drug Medicare PaymentAmount |
117019.25 |
Total Drug Medicare Standardized Payment Amount |
117019.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
2126 |
Number Of Medicare Beneficiaries With Medical Services |
730 |
Total Medical Submitted Charge Amount |
614587 |
Total Medical Medicare Allowed Amount |
229453.05 |
Total Medical Medicare Payment Amount |
171587.29 |
Total Medical Medicare Standardized Payment Amount |
179452.23 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
228 |
Number Of Beneficiaries Age 65 to 74 |
224 |
Number Of Beneficiaries Age 75 to 84 |
181 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
447 |
Number Of Male Beneficiaries |
283 |
Number Of Non Hispanic White Beneficiaries |
499 |
Number Of Black or African American Beneficiaries |
211 |
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 |
432 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
298 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
33 |
Average HCC Risk Score Of Beneficiaries |
1.8867 |