National Provider Identifier [NPI]: |
1265482111 |
Last Name Of The Provider |
MAKAM |
First Name Of The Provider |
SATYAPRAKASH |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10010 DONALD POWERS DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MUNSTER |
Zip Code Of The Provider |
46321 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
133 |
Number Of Services |
14337 |
Number Of Medicare Beneficiaries |
1452 |
Total Submitted Charge Amount |
7374090 |
Total Medicare Allowed Amount |
1709885.98 |
Total Medicare Payment Amount |
1306882.8 |
Total Medicare Standardized Payment Amount |
1378297.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1957 |
Number Of Medicare Beneficiaries With Drug Services |
464 |
Total Drug Submitted ChargeAmount |
102141 |
Total Drug Medicare AllowedAmount |
96621.35 |
Total Drug Medicare PaymentAmount |
75300.55 |
Total Drug Medicare Standardized Payment Amount |
75300.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
126 |
Number Of Medical Services |
12380 |
Number Of Medicare Beneficiaries With Medical Services |
1452 |
Total Medical Submitted Charge Amount |
7271949 |
Total Medical Medicare Allowed Amount |
1613264.63 |
Total Medical Medicare Payment Amount |
1231582.25 |
Total Medical Medicare Standardized Payment Amount |
1302996.72 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
451 |
Number Of Beneficiaries Age 75 to 84 |
529 |
Number Of Beneficiaries Age Greater 84 |
315 |
Number Of Female Beneficiaries |
743 |
Number Of Male Beneficiaries |
709 |
Number Of Non Hispanic White Beneficiaries |
1151 |
Number Of Black or African American Beneficiaries |
179 |
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 |
1221 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
231 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.071 |