National Provider Identifier [NPI]: |
1801833041 |
Last Name Of The Provider |
METZMAN |
First Name Of The Provider |
LOUIS |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1702 LAFAYETTE ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CRAWFORDSVILLE |
Zip Code Of The Provider |
47933 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
2807 |
Number Of Medicare Beneficiaries |
447 |
Total Submitted Charge Amount |
509630 |
Total Medicare Allowed Amount |
226170.07 |
Total Medicare Payment Amount |
168798.56 |
Total Medicare Standardized Payment Amount |
180240.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
804 |
Number Of Medicare Beneficiaries With Drug Services |
198 |
Total Drug Submitted ChargeAmount |
14744 |
Total Drug Medicare AllowedAmount |
4936.81 |
Total Drug Medicare PaymentAmount |
3737.19 |
Total Drug Medicare Standardized Payment Amount |
3737.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
106 |
Number Of Medical Services |
2003 |
Number Of Medicare Beneficiaries With Medical Services |
447 |
Total Medical Submitted Charge Amount |
494886 |
Total Medical Medicare Allowed Amount |
221233.26 |
Total Medical Medicare Payment Amount |
165061.37 |
Total Medical Medicare Standardized Payment Amount |
176503.27 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
50 |
Number Of Beneficiaries Age 65 to 74 |
178 |
Number Of Beneficiaries Age 75 to 84 |
139 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
287 |
Number Of Male Beneficiaries |
160 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
377 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
70 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0565 |