National Provider Identifier [NPI]: |
1679780605 |
Last Name Of The Provider |
OVERMAN |
First Name Of The Provider |
RYAN |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
355 W 16TH ST |
Street Address 2 Of The Provider |
SUITE 3200 |
City Of The Provider |
INDIANAPOLIS |
Zip Code Of The Provider |
462022207 |
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 |
49 |
Number Of Services |
10596 |
Number Of Medicare Beneficiaries |
692 |
Total Submitted Charge Amount |
698145 |
Total Medicare Allowed Amount |
310936.21 |
Total Medicare Payment Amount |
239870.35 |
Total Medicare Standardized Payment Amount |
247100.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
8731 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
87227 |
Total Drug Medicare AllowedAmount |
47983.27 |
Total Drug Medicare PaymentAmount |
37618.83 |
Total Drug Medicare Standardized Payment Amount |
37618.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
1865 |
Number Of Medicare Beneficiaries With Medical Services |
692 |
Total Medical Submitted Charge Amount |
610918 |
Total Medical Medicare Allowed Amount |
262952.94 |
Total Medical Medicare Payment Amount |
202251.52 |
Total Medical Medicare Standardized Payment Amount |
209481.38 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
276 |
Number Of Beneficiaries Age 65 to 74 |
213 |
Number Of Beneficiaries Age 75 to 84 |
154 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
352 |
Number Of Male Beneficiaries |
340 |
Number Of Non Hispanic White Beneficiaries |
483 |
Number Of Black or African American Beneficiaries |
191 |
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 |
385 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
307 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
50 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
38 |
Average HCC Risk Score Of Beneficiaries |
2.4319 |