National Provider Identifier [NPI]: |
1275530362 |
Last Name Of The Provider |
ARMSTRONG |
First Name Of The Provider |
DEBORAH |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1159 W JEFFERSON ST |
Street Address 2 Of The Provider |
STE 202 |
City Of The Provider |
FRANKLIN |
Zip Code Of The Provider |
461312794 |
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 |
98 |
Number Of Services |
3855 |
Number Of Medicare Beneficiaries |
941 |
Total Submitted Charge Amount |
329800.38 |
Total Medicare Allowed Amount |
259926.32 |
Total Medicare Payment Amount |
182906.32 |
Total Medicare Standardized Payment Amount |
192380.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
257 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
3009.23 |
Total Drug Medicare AllowedAmount |
2832.98 |
Total Drug Medicare PaymentAmount |
2163.88 |
Total Drug Medicare Standardized Payment Amount |
2163.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
3598 |
Number Of Medicare Beneficiaries With Medical Services |
941 |
Total Medical Submitted Charge Amount |
326791.15 |
Total Medical Medicare Allowed Amount |
257093.34 |
Total Medical Medicare Payment Amount |
180742.44 |
Total Medical Medicare Standardized Payment Amount |
190216.17 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
371 |
Number Of Beneficiaries Age 75 to 84 |
300 |
Number Of Beneficiaries Age Greater 84 |
181 |
Number Of Female Beneficiaries |
564 |
Number Of Male Beneficiaries |
377 |
Number Of Non Hispanic White Beneficiaries |
919 |
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 |
743 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
198 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.13 |