National Provider Identifier [NPI]: |
1902828957 |
Last Name Of The Provider |
METZLER |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10122 E 10TH ST |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
INDIANAPOLIS |
Zip Code Of The Provider |
462292675 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
1157 |
Number Of Medicare Beneficiaries |
346 |
Total Submitted Charge Amount |
113258 |
Total Medicare Allowed Amount |
77505.67 |
Total Medicare Payment Amount |
54874.1 |
Total Medicare Standardized Payment Amount |
59222.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
143 |
Number Of Medicare Beneficiaries With Drug Services |
114 |
Total Drug Submitted ChargeAmount |
6768 |
Total Drug Medicare AllowedAmount |
4001.71 |
Total Drug Medicare PaymentAmount |
3669.9 |
Total Drug Medicare Standardized Payment Amount |
3669.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
1014 |
Number Of Medicare Beneficiaries With Medical Services |
346 |
Total Medical Submitted Charge Amount |
106490 |
Total Medical Medicare Allowed Amount |
73503.96 |
Total Medical Medicare Payment Amount |
51204.2 |
Total Medical Medicare Standardized Payment Amount |
55552.69 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
135 |
Number Of Beneficiaries Age 75 to 84 |
117 |
Number Of Beneficiaries Age Greater 84 |
63 |
Number Of Female Beneficiaries |
200 |
Number Of Male Beneficiaries |
146 |
Number Of Non Hispanic White Beneficiaries |
318 |
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 |
317 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
29 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
42 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0704 |