National Provider Identifier [NPI]: |
1447256334 |
Last Name Of The Provider |
MORGAN |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
104 CONNIE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SALEM |
Zip Code Of The Provider |
471672305 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
5002 |
Number Of Medicare Beneficiaries |
714 |
Total Submitted Charge Amount |
967327 |
Total Medicare Allowed Amount |
266816.53 |
Total Medicare Payment Amount |
187086.17 |
Total Medicare Standardized Payment Amount |
200925.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
1183 |
Number Of Medicare Beneficiaries With Drug Services |
165 |
Total Drug Submitted ChargeAmount |
27844 |
Total Drug Medicare AllowedAmount |
3154.88 |
Total Drug Medicare PaymentAmount |
2864.7 |
Total Drug Medicare Standardized Payment Amount |
2864.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
3819 |
Number Of Medicare Beneficiaries With Medical Services |
714 |
Total Medical Submitted Charge Amount |
939483 |
Total Medical Medicare Allowed Amount |
263661.65 |
Total Medical Medicare Payment Amount |
184221.47 |
Total Medical Medicare Standardized Payment Amount |
198060.79 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
201 |
Number Of Beneficiaries Age 65 to 74 |
228 |
Number Of Beneficiaries Age 75 to 84 |
185 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
409 |
Number Of Male Beneficiaries |
305 |
Number Of Non Hispanic White Beneficiaries |
696 |
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 |
473 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
241 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3256 |