National Provider Identifier [NPI]: |
1003954876 |
Last Name Of The Provider |
ESTERLE |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
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 |
SUITE 312 |
City Of The Provider |
LOUISVILLE |
Zip Code Of The Provider |
402074652 |
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 |
85 |
Number Of Services |
5925 |
Number Of Medicare Beneficiaries |
1259 |
Total Submitted Charge Amount |
1003079 |
Total Medicare Allowed Amount |
505868.4 |
Total Medicare Payment Amount |
388721.96 |
Total Medicare Standardized Payment Amount |
413058.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
90 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
3150 |
Total Drug Medicare AllowedAmount |
2403.47 |
Total Drug Medicare PaymentAmount |
2351.44 |
Total Drug Medicare Standardized Payment Amount |
2351.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
5835 |
Number Of Medicare Beneficiaries With Medical Services |
1259 |
Total Medical Submitted Charge Amount |
999929 |
Total Medical Medicare Allowed Amount |
503464.93 |
Total Medical Medicare Payment Amount |
386370.52 |
Total Medical Medicare Standardized Payment Amount |
410706.71 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
176 |
Number Of Beneficiaries Age 65 to 74 |
410 |
Number Of Beneficiaries Age 75 to 84 |
421 |
Number Of Beneficiaries Age Greater 84 |
252 |
Number Of Female Beneficiaries |
735 |
Number Of Male Beneficiaries |
524 |
Number Of Non Hispanic White Beneficiaries |
1129 |
Number Of Black or African American Beneficiaries |
106 |
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 |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
978 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
281 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
22 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
68 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.4138 |