National Provider Identifier [NPI]: |
1073666749 |
Last Name Of The Provider |
SALBERG |
First Name Of The Provider |
LARRY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
521 E 86TH AVE |
Street Address 2 Of The Provider |
SUITE Z |
City Of The Provider |
MERRILLVILLE |
Zip Code Of The Provider |
464106173 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
14465 |
Number Of Medicare Beneficiaries |
651 |
Total Submitted Charge Amount |
833057 |
Total Medicare Allowed Amount |
330303.36 |
Total Medicare Payment Amount |
245670.83 |
Total Medicare Standardized Payment Amount |
259387.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
12813 |
Number Of Medicare Beneficiaries With Drug Services |
106 |
Total Drug Submitted ChargeAmount |
122239 |
Total Drug Medicare AllowedAmount |
71047.64 |
Total Drug Medicare PaymentAmount |
52517.83 |
Total Drug Medicare Standardized Payment Amount |
52517.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
1652 |
Number Of Medicare Beneficiaries With Medical Services |
651 |
Total Medical Submitted Charge Amount |
710818 |
Total Medical Medicare Allowed Amount |
259255.72 |
Total Medical Medicare Payment Amount |
193153 |
Total Medical Medicare Standardized Payment Amount |
206869.86 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
146 |
Number Of Beneficiaries Age 65 to 74 |
293 |
Number Of Beneficiaries Age 75 to 84 |
168 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
346 |
Number Of Male Beneficiaries |
305 |
Number Of Non Hispanic White Beneficiaries |
566 |
Number Of Black or African American Beneficiaries |
42 |
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 |
573 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.1932 |