National Provider Identifier [NPI]: |
1326088212 |
Last Name Of The Provider |
NORRIS |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7250 CLEARVISTA DR |
Street Address 2 Of The Provider |
SUITE 260 |
City Of The Provider |
INDIANAPOLIS |
Zip Code Of The Provider |
462564692 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
2741 |
Number Of Medicare Beneficiaries |
558 |
Total Submitted Charge Amount |
322538 |
Total Medicare Allowed Amount |
228922.74 |
Total Medicare Payment Amount |
174153.99 |
Total Medicare Standardized Payment Amount |
183246.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
66 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
10740 |
Total Drug Medicare AllowedAmount |
6589.67 |
Total Drug Medicare PaymentAmount |
6120.88 |
Total Drug Medicare Standardized Payment Amount |
6120.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
2675 |
Number Of Medicare Beneficiaries With Medical Services |
558 |
Total Medical Submitted Charge Amount |
311798 |
Total Medical Medicare Allowed Amount |
222333.07 |
Total Medical Medicare Payment Amount |
168033.11 |
Total Medical Medicare Standardized Payment Amount |
177125.16 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
200 |
Number Of Beneficiaries Age 65 to 74 |
178 |
Number Of Beneficiaries Age 75 to 84 |
130 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
271 |
Number Of Male Beneficiaries |
287 |
Number Of Non Hispanic White Beneficiaries |
422 |
Number Of Black or African American Beneficiaries |
122 |
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 |
352 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
206 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
59 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.8392 |