National Provider Identifier [NPI]: |
1659337335 |
Last Name Of The Provider |
WINKLER |
First Name Of The Provider |
TODD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
429 S LANDMARK AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BLOOMINGTON |
Zip Code Of The Provider |
474035003 |
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 |
151 |
Number Of Services |
8847 |
Number Of Medicare Beneficiaries |
2962 |
Total Submitted Charge Amount |
908643.66 |
Total Medicare Allowed Amount |
217948.92 |
Total Medicare Payment Amount |
164931.23 |
Total Medicare Standardized Payment Amount |
175358.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
4551 |
Number Of Medicare Beneficiaries With Drug Services |
97 |
Total Drug Submitted ChargeAmount |
13590.45 |
Total Drug Medicare AllowedAmount |
3204.94 |
Total Drug Medicare PaymentAmount |
2512 |
Total Drug Medicare Standardized Payment Amount |
2512 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
149 |
Number Of Medical Services |
4296 |
Number Of Medicare Beneficiaries With Medical Services |
2961 |
Total Medical Submitted Charge Amount |
895053.21 |
Total Medical Medicare Allowed Amount |
214743.98 |
Total Medical Medicare Payment Amount |
162419.23 |
Total Medical Medicare Standardized Payment Amount |
172846.91 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
597 |
Number Of Beneficiaries Age 65 to 74 |
994 |
Number Of Beneficiaries Age 75 to 84 |
860 |
Number Of Beneficiaries Age Greater 84 |
511 |
Number Of Female Beneficiaries |
1751 |
Number Of Male Beneficiaries |
1211 |
Number Of Non Hispanic White Beneficiaries |
2875 |
Number Of Black or African American Beneficiaries |
41 |
Number Of AsianPacific Islander Beneficiaries |
20 |
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 |
2123 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
839 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.526 |