National Provider Identifier [NPI]: |
1427086974 |
Last Name Of The Provider |
AASAR |
First Name Of The Provider |
SAMI |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13100 EAST 136TH STREET |
Street Address 2 Of The Provider |
SUITE 3000 |
City Of The Provider |
FISHERS |
Zip Code Of The Provider |
460379817 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
123 |
Number Of Services |
8782 |
Number Of Medicare Beneficiaries |
1800 |
Total Submitted Charge Amount |
1937904 |
Total Medicare Allowed Amount |
697216.72 |
Total Medicare Payment Amount |
522222.29 |
Total Medicare Standardized Payment Amount |
560247.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
672 |
Number Of Medicare Beneficiaries With Drug Services |
167 |
Total Drug Submitted ChargeAmount |
89983 |
Total Drug Medicare AllowedAmount |
35563.8 |
Total Drug Medicare PaymentAmount |
27156.13 |
Total Drug Medicare Standardized Payment Amount |
27156.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
120 |
Number Of Medical Services |
8110 |
Number Of Medicare Beneficiaries With Medical Services |
1800 |
Total Medical Submitted Charge Amount |
1847921 |
Total Medical Medicare Allowed Amount |
661652.92 |
Total Medical Medicare Payment Amount |
495066.16 |
Total Medical Medicare Standardized Payment Amount |
533091.77 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
191 |
Number Of Beneficiaries Age 65 to 74 |
675 |
Number Of Beneficiaries Age 75 to 84 |
629 |
Number Of Beneficiaries Age Greater 84 |
305 |
Number Of Female Beneficiaries |
886 |
Number Of Male Beneficiaries |
914 |
Number Of Non Hispanic White Beneficiaries |
1644 |
Number Of Black or African American Beneficiaries |
105 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1552 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
248 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5594 |