National Provider Identifier [NPI]: |
1972541936 |
Last Name Of The Provider |
BOCHAN |
First Name Of The Provider |
MARKIAN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11455 N MERIDIAN ST |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
CARMEL |
Zip Code Of The Provider |
460321624 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
18 |
Number Of Services |
2844 |
Number Of Medicare Beneficiaries |
568 |
Total Submitted Charge Amount |
364489 |
Total Medicare Allowed Amount |
239736.05 |
Total Medicare Payment Amount |
186132.48 |
Total Medicare Standardized Payment Amount |
194428.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
12 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
670 |
Total Drug Medicare AllowedAmount |
334.25 |
Total Drug Medicare PaymentAmount |
327.54 |
Total Drug Medicare Standardized Payment Amount |
327.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
2832 |
Number Of Medicare Beneficiaries With Medical Services |
568 |
Total Medical Submitted Charge Amount |
363819 |
Total Medical Medicare Allowed Amount |
239401.8 |
Total Medical Medicare Payment Amount |
185804.94 |
Total Medical Medicare Standardized Payment Amount |
194100.8 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
193 |
Number Of Beneficiaries Age 65 to 74 |
196 |
Number Of Beneficiaries Age 75 to 84 |
126 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
261 |
Number Of Male Beneficiaries |
307 |
Number Of Non Hispanic White Beneficiaries |
471 |
Number Of Black or African American Beneficiaries |
79 |
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 |
365 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
203 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
56 |
Percent Of With Chronic Kidney Disease |
63 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.8114 |