National Provider Identifier [NPI]: |
1548261837 |
Last Name Of The Provider |
MIEDLER |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1720 NICHOLASVILLE RD |
Street Address 2 Of The Provider |
SUITE 602 |
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
405031475 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
28276 |
Number Of Medicare Beneficiaries |
516 |
Total Submitted Charge Amount |
770521.42 |
Total Medicare Allowed Amount |
409811.41 |
Total Medicare Payment Amount |
312246.2 |
Total Medicare Standardized Payment Amount |
333955.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
23842 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
82876.42 |
Total Drug Medicare AllowedAmount |
22963.7 |
Total Drug Medicare PaymentAmount |
16425.96 |
Total Drug Medicare Standardized Payment Amount |
16425.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
4434 |
Number Of Medicare Beneficiaries With Medical Services |
516 |
Total Medical Submitted Charge Amount |
687645 |
Total Medical Medicare Allowed Amount |
386847.71 |
Total Medical Medicare Payment Amount |
295820.24 |
Total Medical Medicare Standardized Payment Amount |
317529.3 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
164 |
Number Of Beneficiaries Age 75 to 84 |
131 |
Number Of Beneficiaries Age Greater 84 |
91 |
Number Of Female Beneficiaries |
264 |
Number Of Male Beneficiaries |
252 |
Number Of Non Hispanic White Beneficiaries |
477 |
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 |
355 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
161 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
67 |
Percent Of With Chronic Obstructive Pulmonary Disease |
42 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.7164 |