National Provider Identifier [NPI]: |
1104890938 |
Last Name Of The Provider |
HOROWITZ |
First Name Of The Provider |
JOEL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4003 KRESGE WAY |
Street Address 2 Of The Provider |
STE 312 |
City Of The Provider |
LOUISVILLE |
Zip Code Of The Provider |
40207 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
4557 |
Number Of Medicare Beneficiaries |
1098 |
Total Submitted Charge Amount |
554871 |
Total Medicare Allowed Amount |
283350.52 |
Total Medicare Payment Amount |
216589.54 |
Total Medicare Standardized Payment Amount |
231298.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
93 |
Number Of Medicare Beneficiaries With Drug Services |
82 |
Total Drug Submitted ChargeAmount |
8635 |
Total Drug Medicare AllowedAmount |
7268.62 |
Total Drug Medicare PaymentAmount |
7123.09 |
Total Drug Medicare Standardized Payment Amount |
7123.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
4464 |
Number Of Medicare Beneficiaries With Medical Services |
1098 |
Total Medical Submitted Charge Amount |
546236 |
Total Medical Medicare Allowed Amount |
276081.9 |
Total Medical Medicare Payment Amount |
209466.45 |
Total Medical Medicare Standardized Payment Amount |
224175.86 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
364 |
Number Of Beneficiaries Age 75 to 84 |
425 |
Number Of Beneficiaries Age Greater 84 |
192 |
Number Of Female Beneficiaries |
656 |
Number Of Male Beneficiaries |
442 |
Number Of Non Hispanic White Beneficiaries |
1011 |
Number Of Black or African American Beneficiaries |
63 |
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 |
927 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
171 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
59 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.0439 |