National Provider Identifier [NPI]: |
1407989932 |
Last Name Of The Provider |
EMLEY |
First Name Of The Provider |
TYLER |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 WEST 84TH DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
MERRILLVILLE |
Zip Code Of The Provider |
46410 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
4914 |
Number Of Medicare Beneficiaries |
1137 |
Total Submitted Charge Amount |
1195997.02 |
Total Medicare Allowed Amount |
407873.49 |
Total Medicare Payment Amount |
306777.54 |
Total Medicare Standardized Payment Amount |
323841.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
883 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
138330.6 |
Total Drug Medicare AllowedAmount |
53755.9 |
Total Drug Medicare PaymentAmount |
42001.24 |
Total Drug Medicare Standardized Payment Amount |
42001.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
108 |
Number Of Medical Services |
4031 |
Number Of Medicare Beneficiaries With Medical Services |
1137 |
Total Medical Submitted Charge Amount |
1057666.42 |
Total Medical Medicare Allowed Amount |
354117.59 |
Total Medical Medicare Payment Amount |
264776.3 |
Total Medical Medicare Standardized Payment Amount |
281840.03 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
162 |
Number Of Beneficiaries Age 65 to 74 |
454 |
Number Of Beneficiaries Age 75 to 84 |
349 |
Number Of Beneficiaries Age Greater 84 |
172 |
Number Of Female Beneficiaries |
378 |
Number Of Male Beneficiaries |
759 |
Number Of Non Hispanic White Beneficiaries |
952 |
Number Of Black or African American Beneficiaries |
109 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
62 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
923 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
214 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7859 |