National Provider Identifier [NPI]: |
1427027226 |
Last Name Of The Provider |
CAHOON |
First Name Of The Provider |
JEFF |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
253 SAGAMORE PKWY W |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST LAFAYETTE |
Zip Code Of The Provider |
479061501 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
183 |
Number Of Services |
16630 |
Number Of Medicare Beneficiaries |
3608 |
Total Submitted Charge Amount |
1518391.96 |
Total Medicare Allowed Amount |
301669.05 |
Total Medicare Payment Amount |
231854.48 |
Total Medicare Standardized Payment Amount |
249943.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
11120 |
Number Of Medicare Beneficiaries With Drug Services |
148 |
Total Drug Submitted ChargeAmount |
20207 |
Total Drug Medicare AllowedAmount |
2702.54 |
Total Drug Medicare PaymentAmount |
2078.56 |
Total Drug Medicare Standardized Payment Amount |
2078.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
177 |
Number Of Medical Services |
5510 |
Number Of Medicare Beneficiaries With Medical Services |
3608 |
Total Medical Submitted Charge Amount |
1498184.96 |
Total Medical Medicare Allowed Amount |
298966.51 |
Total Medical Medicare Payment Amount |
229775.92 |
Total Medical Medicare Standardized Payment Amount |
247864.57 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
698 |
Number Of Beneficiaries Age 65 to 74 |
1326 |
Number Of Beneficiaries Age 75 to 84 |
1019 |
Number Of Beneficiaries Age Greater 84 |
565 |
Number Of Female Beneficiaries |
2149 |
Number Of Male Beneficiaries |
1459 |
Number Of Non Hispanic White Beneficiaries |
3473 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
38 |
Number Of Beneficiaries With Medicare Only Entitlement |
2696 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
912 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4984 |