National Provider Identifier [NPI]: |
1992757751 |
Last Name Of The Provider |
YOUNG |
First Name Of The Provider |
PRIYA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8103 CLEARVISTA PKWY |
Street Address 2 Of The Provider |
SUITE 220 |
City Of The Provider |
INDIANAPOLIS |
Zip Code Of The Provider |
462565628 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
3600 |
Number Of Medicare Beneficiaries |
849 |
Total Submitted Charge Amount |
377561 |
Total Medicare Allowed Amount |
251011.58 |
Total Medicare Payment Amount |
181064.24 |
Total Medicare Standardized Payment Amount |
192303.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
796 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
51463 |
Total Drug Medicare AllowedAmount |
46055.9 |
Total Drug Medicare PaymentAmount |
36071.61 |
Total Drug Medicare Standardized Payment Amount |
36071.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
2804 |
Number Of Medicare Beneficiaries With Medical Services |
849 |
Total Medical Submitted Charge Amount |
326098 |
Total Medical Medicare Allowed Amount |
204955.68 |
Total Medical Medicare Payment Amount |
144992.63 |
Total Medical Medicare Standardized Payment Amount |
156231.57 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
91 |
Number Of Beneficiaries Age 65 to 74 |
441 |
Number Of Beneficiaries Age 75 to 84 |
227 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
499 |
Number Of Male Beneficiaries |
350 |
Number Of Non Hispanic White Beneficiaries |
782 |
Number Of Black or African American Beneficiaries |
47 |
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 |
757 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9945 |