National Provider Identifier [NPI]: |
1891755690 |
Last Name Of The Provider |
HOEHN |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
505 WEST LINCOLN HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
SCHERERVILLE |
Zip Code Of The Provider |
46375 |
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 |
104 |
Number Of Services |
19636 |
Number Of Medicare Beneficiaries |
1056 |
Total Submitted Charge Amount |
833296 |
Total Medicare Allowed Amount |
398664.21 |
Total Medicare Payment Amount |
284964.95 |
Total Medicare Standardized Payment Amount |
296275.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
25 |
Number Of Drug Services |
10199 |
Number Of Medicare Beneficiaries With Drug Services |
658 |
Total Drug Submitted ChargeAmount |
67707 |
Total Drug Medicare AllowedAmount |
31566.91 |
Total Drug Medicare PaymentAmount |
26220.4 |
Total Drug Medicare Standardized Payment Amount |
26220.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
9437 |
Number Of Medicare Beneficiaries With Medical Services |
1054 |
Total Medical Submitted Charge Amount |
765589 |
Total Medical Medicare Allowed Amount |
367097.3 |
Total Medical Medicare Payment Amount |
258744.55 |
Total Medical Medicare Standardized Payment Amount |
270055.55 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
473 |
Number Of Beneficiaries Age 75 to 84 |
351 |
Number Of Beneficiaries Age Greater 84 |
147 |
Number Of Female Beneficiaries |
593 |
Number Of Male Beneficiaries |
463 |
Number Of Non Hispanic White Beneficiaries |
1004 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1008 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1603 |