National Provider Identifier [NPI]: |
1770585861 |
Last Name Of The Provider |
HARIG |
First Name Of The Provider |
SHARON |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8895 BROADWAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
MERRILLVILLE |
Zip Code Of The Provider |
464107037 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
3065 |
Number Of Medicare Beneficiaries |
768 |
Total Submitted Charge Amount |
505431.6 |
Total Medicare Allowed Amount |
284461.62 |
Total Medicare Payment Amount |
216956.99 |
Total Medicare Standardized Payment Amount |
228712.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
3065 |
Number Of Medicare Beneficiaries With Medical Services |
768 |
Total Medical Submitted Charge Amount |
505431.6 |
Total Medical Medicare Allowed Amount |
284461.62 |
Total Medical Medicare Payment Amount |
216956.99 |
Total Medical Medicare Standardized Payment Amount |
228712.16 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
143 |
Number Of Beneficiaries Age 65 to 74 |
261 |
Number Of Beneficiaries Age 75 to 84 |
247 |
Number Of Beneficiaries Age Greater 84 |
117 |
Number Of Female Beneficiaries |
447 |
Number Of Male Beneficiaries |
321 |
Number Of Non Hispanic White Beneficiaries |
585 |
Number Of Black or African American Beneficiaries |
132 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
609 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
159 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
27 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
69 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.3633 |