National Provider Identifier [NPI]: |
1942297007 |
Last Name Of The Provider |
BELL |
First Name Of The Provider |
BRADLEY |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
101 HOSPITAL BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
JEFFERSONVILLE |
Zip Code Of The Provider |
471303748 |
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 |
116 |
Number Of Services |
8106 |
Number Of Medicare Beneficiaries |
1543 |
Total Submitted Charge Amount |
1499599.5 |
Total Medicare Allowed Amount |
728349.17 |
Total Medicare Payment Amount |
551677.19 |
Total Medicare Standardized Payment Amount |
577494.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
1234 |
Number Of Medicare Beneficiaries With Drug Services |
202 |
Total Drug Submitted ChargeAmount |
482697 |
Total Drug Medicare AllowedAmount |
255756.8 |
Total Drug Medicare PaymentAmount |
198483.9 |
Total Drug Medicare Standardized Payment Amount |
198483.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
107 |
Number Of Medical Services |
6872 |
Number Of Medicare Beneficiaries With Medical Services |
1543 |
Total Medical Submitted Charge Amount |
1016902.5 |
Total Medical Medicare Allowed Amount |
472592.37 |
Total Medical Medicare Payment Amount |
353193.29 |
Total Medical Medicare Standardized Payment Amount |
379010.37 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
267 |
Number Of Beneficiaries Age 65 to 74 |
662 |
Number Of Beneficiaries Age 75 to 84 |
450 |
Number Of Beneficiaries Age Greater 84 |
164 |
Number Of Female Beneficiaries |
472 |
Number Of Male Beneficiaries |
1071 |
Number Of Non Hispanic White Beneficiaries |
1382 |
Number Of Black or African American Beneficiaries |
119 |
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 |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
1232 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
311 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
28 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4233 |