National Provider Identifier [NPI]: |
1598960999 |
Last Name Of The Provider |
STREEPEY |
First Name Of The Provider |
JANET |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. MPH |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
691 MAIN ST NE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PALMYRA |
Zip Code Of The Provider |
471648894 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
1550 |
Number Of Medicare Beneficiaries |
232 |
Total Submitted Charge Amount |
120367 |
Total Medicare Allowed Amount |
70068.67 |
Total Medicare Payment Amount |
51226.9 |
Total Medicare Standardized Payment Amount |
54240.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
141 |
Number Of Medicare Beneficiaries With Drug Services |
64 |
Total Drug Submitted ChargeAmount |
3184 |
Total Drug Medicare AllowedAmount |
1816.12 |
Total Drug Medicare PaymentAmount |
1745.22 |
Total Drug Medicare Standardized Payment Amount |
1745.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
1409 |
Number Of Medicare Beneficiaries With Medical Services |
232 |
Total Medical Submitted Charge Amount |
117183 |
Total Medical Medicare Allowed Amount |
68252.55 |
Total Medical Medicare Payment Amount |
49481.68 |
Total Medical Medicare Standardized Payment Amount |
52495.44 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
76 |
Number Of Beneficiaries Age 75 to 84 |
45 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
136 |
Number Of Male Beneficiaries |
96 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
130 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
102 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
7 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.119 |