National Provider Identifier [NPI]: |
1962471011 |
Last Name Of The Provider |
CONTE |
First Name Of The Provider |
FRANK |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2525 W UNIVERSITY AVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
MUNCIE |
Zip Code Of The Provider |
473033421 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
7268 |
Number Of Medicare Beneficiaries |
2727 |
Total Submitted Charge Amount |
1406829.55 |
Total Medicare Allowed Amount |
510725.34 |
Total Medicare Payment Amount |
380613.84 |
Total Medicare Standardized Payment Amount |
403508.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
431 |
Number Of Medicare Beneficiaries With Drug Services |
110 |
Total Drug Submitted ChargeAmount |
54054 |
Total Drug Medicare AllowedAmount |
22343.5 |
Total Drug Medicare PaymentAmount |
17520.33 |
Total Drug Medicare Standardized Payment Amount |
17520.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
6837 |
Number Of Medicare Beneficiaries With Medical Services |
2727 |
Total Medical Submitted Charge Amount |
1352775.55 |
Total Medical Medicare Allowed Amount |
488381.84 |
Total Medical Medicare Payment Amount |
363093.51 |
Total Medical Medicare Standardized Payment Amount |
385988.09 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
469 |
Number Of Beneficiaries Age 65 to 74 |
893 |
Number Of Beneficiaries Age 75 to 84 |
873 |
Number Of Beneficiaries Age Greater 84 |
492 |
Number Of Female Beneficiaries |
1403 |
Number Of Male Beneficiaries |
1324 |
Number Of Non Hispanic White Beneficiaries |
2561 |
Number Of Black or African American Beneficiaries |
131 |
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 |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
2059 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
668 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6983 |