National Provider Identifier [NPI]: |
1790739480 |
Last Name Of The Provider |
HARLAMERT |
First Name Of The Provider |
EDWARD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13100 E 136TH ST |
Street Address 2 Of The Provider |
STE 3000 |
City Of The Provider |
FISHERS |
Zip Code Of The Provider |
460379417 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
3909 |
Number Of Medicare Beneficiaries |
1083 |
Total Submitted Charge Amount |
1262548 |
Total Medicare Allowed Amount |
497288.13 |
Total Medicare Payment Amount |
379125.12 |
Total Medicare Standardized Payment Amount |
403333.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
443 |
Number Of Medicare Beneficiaries With Drug Services |
114 |
Total Drug Submitted ChargeAmount |
59167 |
Total Drug Medicare AllowedAmount |
23366.15 |
Total Drug Medicare PaymentAmount |
18194.94 |
Total Drug Medicare Standardized Payment Amount |
18194.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
101 |
Number Of Medical Services |
3466 |
Number Of Medicare Beneficiaries With Medical Services |
1083 |
Total Medical Submitted Charge Amount |
1203381 |
Total Medical Medicare Allowed Amount |
473921.98 |
Total Medical Medicare Payment Amount |
360930.18 |
Total Medical Medicare Standardized Payment Amount |
385138.73 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
88 |
Number Of Beneficiaries Age 65 to 74 |
428 |
Number Of Beneficiaries Age 75 to 84 |
403 |
Number Of Beneficiaries Age Greater 84 |
164 |
Number Of Female Beneficiaries |
529 |
Number Of Male Beneficiaries |
554 |
Number Of Non Hispanic White Beneficiaries |
981 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
980 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
103 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4142 |