National Provider Identifier [NPI]: |
1548295074 |
Last Name Of The Provider |
STURM |
First Name Of The Provider |
BARBARA |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5255 E STOP 11 RD |
Street Address 2 Of The Provider |
SUITE 310 |
City Of The Provider |
INDIANAPOLIS |
Zip Code Of The Provider |
462376340 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
5136 |
Number Of Medicare Beneficiaries |
1249 |
Total Submitted Charge Amount |
459746.92 |
Total Medicare Allowed Amount |
278319.83 |
Total Medicare Payment Amount |
193364.26 |
Total Medicare Standardized Payment Amount |
204886.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
93 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
5090 |
Total Drug Medicare AllowedAmount |
2632.1 |
Total Drug Medicare PaymentAmount |
1885.15 |
Total Drug Medicare Standardized Payment Amount |
1885.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
5043 |
Number Of Medicare Beneficiaries With Medical Services |
1249 |
Total Medical Submitted Charge Amount |
454656.92 |
Total Medical Medicare Allowed Amount |
275687.73 |
Total Medical Medicare Payment Amount |
191479.11 |
Total Medical Medicare Standardized Payment Amount |
203001.6 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
639 |
Number Of Beneficiaries Age 75 to 84 |
416 |
Number Of Beneficiaries Age Greater 84 |
174 |
Number Of Female Beneficiaries |
738 |
Number Of Male Beneficiaries |
511 |
Number Of Non Hispanic White Beneficiaries |
1214 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8374 |