National Provider Identifier [NPI]: |
1346257730 |
Last Name Of The Provider |
MAGEE |
First Name Of The Provider |
CHRIS |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8040 CLEARVISTA PKWY |
Street Address 2 Of The Provider |
SUITE 370 |
City Of The Provider |
INDIANAPOLIS |
Zip Code Of The Provider |
462564673 |
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 |
101 |
Number Of Services |
4542 |
Number Of Medicare Beneficiaries |
933 |
Total Submitted Charge Amount |
1110457 |
Total Medicare Allowed Amount |
397596.16 |
Total Medicare Payment Amount |
300287.44 |
Total Medicare Standardized Payment Amount |
311156.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
504 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
376903 |
Total Drug Medicare AllowedAmount |
179001.92 |
Total Drug Medicare PaymentAmount |
140242.22 |
Total Drug Medicare Standardized Payment Amount |
140242.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
94 |
Number Of Medical Services |
4038 |
Number Of Medicare Beneficiaries With Medical Services |
933 |
Total Medical Submitted Charge Amount |
733554 |
Total Medical Medicare Allowed Amount |
218594.24 |
Total Medical Medicare Payment Amount |
160045.22 |
Total Medical Medicare Standardized Payment Amount |
170914.11 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
106 |
Number Of Beneficiaries Age 65 to 74 |
386 |
Number Of Beneficiaries Age 75 to 84 |
311 |
Number Of Beneficiaries Age Greater 84 |
130 |
Number Of Female Beneficiaries |
254 |
Number Of Male Beneficiaries |
679 |
Number Of Non Hispanic White Beneficiaries |
827 |
Number Of Black or African American Beneficiaries |
79 |
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 |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
799 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
134 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.427 |