National Provider Identifier [NPI]: |
1801988027 |
Last Name Of The Provider |
ENGLERT |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
611 E DOUGLAS RD |
Street Address 2 Of The Provider |
SUITE 305 |
City Of The Provider |
MISHAWAKA |
Zip Code Of The Provider |
465451464 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
5551 |
Number Of Medicare Beneficiaries |
642 |
Total Submitted Charge Amount |
282244.23 |
Total Medicare Allowed Amount |
113568.46 |
Total Medicare Payment Amount |
83152.46 |
Total Medicare Standardized Payment Amount |
87219.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
4600 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
41400 |
Total Drug Medicare AllowedAmount |
25244.2 |
Total Drug Medicare PaymentAmount |
19142.15 |
Total Drug Medicare Standardized Payment Amount |
19142.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
951 |
Number Of Medicare Beneficiaries With Medical Services |
642 |
Total Medical Submitted Charge Amount |
240844.23 |
Total Medical Medicare Allowed Amount |
88324.26 |
Total Medical Medicare Payment Amount |
64010.31 |
Total Medical Medicare Standardized Payment Amount |
68077.52 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
196 |
Number Of Beneficiaries Age 65 to 74 |
207 |
Number Of Beneficiaries Age 75 to 84 |
171 |
Number Of Beneficiaries Age Greater 84 |
68 |
Number Of Female Beneficiaries |
327 |
Number Of Male Beneficiaries |
315 |
Number Of Non Hispanic White Beneficiaries |
557 |
Number Of Black or African American Beneficiaries |
62 |
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 |
454 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
188 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.5444 |