National Provider Identifier [NPI]: |
1073527735 |
Last Name Of The Provider |
BATTERTON |
First Name Of The Provider |
OWEN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
45 231 SOUTH |
Street Address 2 Of The Provider |
|
City Of The Provider |
BLOOMFIELD |
Zip Code Of The Provider |
474240448 |
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 |
75 |
Number Of Services |
2999 |
Number Of Medicare Beneficiaries |
550 |
Total Submitted Charge Amount |
223364 |
Total Medicare Allowed Amount |
140336.62 |
Total Medicare Payment Amount |
94550.75 |
Total Medicare Standardized Payment Amount |
102018.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
278 |
Number Of Medicare Beneficiaries With Drug Services |
253 |
Total Drug Submitted ChargeAmount |
8875 |
Total Drug Medicare AllowedAmount |
4570.87 |
Total Drug Medicare PaymentAmount |
4405.72 |
Total Drug Medicare Standardized Payment Amount |
4405.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
2721 |
Number Of Medicare Beneficiaries With Medical Services |
550 |
Total Medical Submitted Charge Amount |
214489 |
Total Medical Medicare Allowed Amount |
135765.75 |
Total Medical Medicare Payment Amount |
90145.03 |
Total Medical Medicare Standardized Payment Amount |
97612.42 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
222 |
Number Of Beneficiaries Age 75 to 84 |
185 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
322 |
Number Of Male Beneficiaries |
228 |
Number Of Non Hispanic White Beneficiaries |
536 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
478 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
72 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
31 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0202 |