National Provider Identifier [NPI]: |
1013921709 |
Last Name Of The Provider |
KNAPP |
First Name Of The Provider |
PETER |
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 |
12188A N MERIDIAN ST |
Street Address 2 Of The Provider |
SUITE #200 |
City Of The Provider |
CARMEL |
Zip Code Of The Provider |
460324578 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
6060 |
Number Of Medicare Beneficiaries |
575 |
Total Submitted Charge Amount |
773377.5 |
Total Medicare Allowed Amount |
228875 |
Total Medicare Payment Amount |
172344.18 |
Total Medicare Standardized Payment Amount |
183399.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
2809 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
66878 |
Total Drug Medicare AllowedAmount |
23494.88 |
Total Drug Medicare PaymentAmount |
18419.99 |
Total Drug Medicare Standardized Payment Amount |
18419.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
107 |
Number Of Medical Services |
3251 |
Number Of Medicare Beneficiaries With Medical Services |
575 |
Total Medical Submitted Charge Amount |
706499.5 |
Total Medical Medicare Allowed Amount |
205380.12 |
Total Medical Medicare Payment Amount |
153924.19 |
Total Medical Medicare Standardized Payment Amount |
164979.95 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
247 |
Number Of Beneficiaries Age 75 to 84 |
199 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
181 |
Number Of Male Beneficiaries |
394 |
Number Of Non Hispanic White Beneficiaries |
530 |
Number Of Black or African American Beneficiaries |
29 |
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 |
519 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
56 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
27 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.213 |