National Provider Identifier [NPI]: |
1982866232 |
Last Name Of The Provider |
WALKER |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11900 N PENNSYLVANIA STREET |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
CARMEL |
Zip Code Of The Provider |
560324694 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
121 |
Number Of Services |
6073 |
Number Of Medicare Beneficiaries |
1119 |
Total Submitted Charge Amount |
964282.84 |
Total Medicare Allowed Amount |
140845.84 |
Total Medicare Payment Amount |
104523.03 |
Total Medicare Standardized Payment Amount |
112943.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
4603 |
Number Of Medicare Beneficiaries With Drug Services |
156 |
Total Drug Submitted ChargeAmount |
37082 |
Total Drug Medicare AllowedAmount |
2246.51 |
Total Drug Medicare PaymentAmount |
1709.09 |
Total Drug Medicare Standardized Payment Amount |
1709.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
112 |
Number Of Medical Services |
1470 |
Number Of Medicare Beneficiaries With Medical Services |
1119 |
Total Medical Submitted Charge Amount |
927200.84 |
Total Medical Medicare Allowed Amount |
138599.33 |
Total Medical Medicare Payment Amount |
102813.94 |
Total Medical Medicare Standardized Payment Amount |
111234.6 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
179 |
Number Of Beneficiaries Age 65 to 74 |
562 |
Number Of Beneficiaries Age 75 to 84 |
308 |
Number Of Beneficiaries Age Greater 84 |
70 |
Number Of Female Beneficiaries |
625 |
Number Of Male Beneficiaries |
494 |
Number Of Non Hispanic White Beneficiaries |
1038 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
979 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
140 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0792 |