National Provider Identifier [NPI]: |
1316934227 |
Last Name Of The Provider |
INGLE |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 E. JEFFERSON ST. |
Street Address 2 Of The Provider |
|
City Of The Provider |
PRAIRIE CITY |
Zip Code Of The Provider |
502280430 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
5153 |
Number Of Medicare Beneficiaries |
477 |
Total Submitted Charge Amount |
361546 |
Total Medicare Allowed Amount |
201189.23 |
Total Medicare Payment Amount |
138643.15 |
Total Medicare Standardized Payment Amount |
158062.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
1006 |
Number Of Medicare Beneficiaries With Drug Services |
225 |
Total Drug Submitted ChargeAmount |
14389 |
Total Drug Medicare AllowedAmount |
4031.95 |
Total Drug Medicare PaymentAmount |
3580.11 |
Total Drug Medicare Standardized Payment Amount |
3580.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
4147 |
Number Of Medicare Beneficiaries With Medical Services |
477 |
Total Medical Submitted Charge Amount |
347157 |
Total Medical Medicare Allowed Amount |
197157.28 |
Total Medical Medicare Payment Amount |
135063.04 |
Total Medical Medicare Standardized Payment Amount |
154482.54 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
219 |
Number Of Beneficiaries Age 75 to 84 |
106 |
Number Of Beneficiaries Age Greater 84 |
56 |
Number Of Female Beneficiaries |
245 |
Number Of Male Beneficiaries |
232 |
Number Of Non Hispanic White Beneficiaries |
465 |
Number Of Black or African American Beneficiaries |
|
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 |
391 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
86 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9213 |