National Provider Identifier [NPI]: |
1184675084 |
Last Name Of The Provider |
HUPFER |
First Name Of The Provider |
TIMOTHY |
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 |
8450 NORTHWEST BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
INDIANAPOLIS |
Zip Code Of The Provider |
462781381 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
3137 |
Number Of Medicare Beneficiaries |
715 |
Total Submitted Charge Amount |
1541066.8 |
Total Medicare Allowed Amount |
266733.55 |
Total Medicare Payment Amount |
198108.69 |
Total Medicare Standardized Payment Amount |
210760.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
573 |
Number Of Medicare Beneficiaries With Drug Services |
283 |
Total Drug Submitted ChargeAmount |
42396 |
Total Drug Medicare AllowedAmount |
13069.78 |
Total Drug Medicare PaymentAmount |
10039.73 |
Total Drug Medicare Standardized Payment Amount |
10039.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
2564 |
Number Of Medicare Beneficiaries With Medical Services |
715 |
Total Medical Submitted Charge Amount |
1498670.8 |
Total Medical Medicare Allowed Amount |
253663.77 |
Total Medical Medicare Payment Amount |
188068.96 |
Total Medical Medicare Standardized Payment Amount |
200721.19 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
381 |
Number Of Beneficiaries Age 75 to 84 |
219 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
447 |
Number Of Male Beneficiaries |
268 |
Number Of Non Hispanic White Beneficiaries |
604 |
Number Of Black or African American Beneficiaries |
92 |
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 |
667 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9822 |