National Provider Identifier [NPI]: |
1427243385 |
Last Name Of The Provider |
SAUER |
First Name Of The Provider |
RYAN |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5901 TECHNOLOGY CENTER DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
INDIANAPOLIS |
Zip Code Of The Provider |
462786013 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
136 |
Number Of Services |
6087 |
Number Of Medicare Beneficiaries |
3799 |
Total Submitted Charge Amount |
787931 |
Total Medicare Allowed Amount |
230515.78 |
Total Medicare Payment Amount |
177924.73 |
Total Medicare Standardized Payment Amount |
187787.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1355 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
1066 |
Total Drug Medicare AllowedAmount |
376.38 |
Total Drug Medicare PaymentAmount |
295.05 |
Total Drug Medicare Standardized Payment Amount |
295.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
134 |
Number Of Medical Services |
4732 |
Number Of Medicare Beneficiaries With Medical Services |
3799 |
Total Medical Submitted Charge Amount |
786865 |
Total Medical Medicare Allowed Amount |
230139.4 |
Total Medical Medicare Payment Amount |
177629.68 |
Total Medical Medicare Standardized Payment Amount |
187492.15 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
758 |
Number Of Beneficiaries Age 65 to 74 |
1285 |
Number Of Beneficiaries Age 75 to 84 |
1074 |
Number Of Beneficiaries Age Greater 84 |
682 |
Number Of Female Beneficiaries |
2290 |
Number Of Male Beneficiaries |
1509 |
Number Of Non Hispanic White Beneficiaries |
3468 |
Number Of Black or African American Beneficiaries |
247 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
2832 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
967 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.6653 |