National Provider Identifier [NPI]: |
1558380931 |
Last Name Of The Provider |
MCCREADY |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1801 SENATE BLVD |
Street Address 2 Of The Provider |
SUITE 755 |
City Of The Provider |
INDIANAPOLIS |
Zip Code Of The Provider |
462021228 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Vascular Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
1885 |
Number Of Medicare Beneficiaries |
1293 |
Total Submitted Charge Amount |
572538 |
Total Medicare Allowed Amount |
230941.7 |
Total Medicare Payment Amount |
178222.43 |
Total Medicare Standardized Payment Amount |
191617.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
1885 |
Number Of Medicare Beneficiaries With Medical Services |
1293 |
Total Medical Submitted Charge Amount |
572538 |
Total Medical Medicare Allowed Amount |
230941.7 |
Total Medical Medicare Payment Amount |
178222.43 |
Total Medical Medicare Standardized Payment Amount |
191617.58 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
370 |
Number Of Beneficiaries Age 65 to 74 |
457 |
Number Of Beneficiaries Age 75 to 84 |
341 |
Number Of Beneficiaries Age Greater 84 |
125 |
Number Of Female Beneficiaries |
695 |
Number Of Male Beneficiaries |
598 |
Number Of Non Hispanic White Beneficiaries |
905 |
Number Of Black or African American Beneficiaries |
355 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
802 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
491 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
60 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
2.8804 |