National Provider Identifier [NPI]: |
1245214162 |
Last Name Of The Provider |
ADADE |
First Name Of The Provider |
ESTHER |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8920 SOUTHPOINTE DR |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
INDIANAPOLIS |
Zip Code Of The Provider |
462277509 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
1083 |
Number Of Medicare Beneficiaries |
256 |
Total Submitted Charge Amount |
104140 |
Total Medicare Allowed Amount |
73267.91 |
Total Medicare Payment Amount |
51413.03 |
Total Medicare Standardized Payment Amount |
54978.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
139 |
Number Of Medicare Beneficiaries With Drug Services |
80 |
Total Drug Submitted ChargeAmount |
5458 |
Total Drug Medicare AllowedAmount |
3443.69 |
Total Drug Medicare PaymentAmount |
3288 |
Total Drug Medicare Standardized Payment Amount |
3288 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
944 |
Number Of Medicare Beneficiaries With Medical Services |
256 |
Total Medical Submitted Charge Amount |
98682 |
Total Medical Medicare Allowed Amount |
69824.22 |
Total Medical Medicare Payment Amount |
48125.03 |
Total Medical Medicare Standardized Payment Amount |
51690.36 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
113 |
Number Of Beneficiaries Age 75 to 84 |
59 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
184 |
Number Of Male Beneficiaries |
72 |
Number Of Non Hispanic White Beneficiaries |
236 |
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 |
193 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
63 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2213 |