National Provider Identifier [NPI]: |
1598720120 |
Last Name Of The Provider |
GILL |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1801 N SENATE BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
INDIANAPOLIS |
Zip Code Of The Provider |
462021228 |
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 |
50 |
Number Of Services |
8183 |
Number Of Medicare Beneficiaries |
3198 |
Total Submitted Charge Amount |
621627 |
Total Medicare Allowed Amount |
221993.3 |
Total Medicare Payment Amount |
161399.53 |
Total Medicare Standardized Payment Amount |
170507.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
8183 |
Number Of Medicare Beneficiaries With Medical Services |
3198 |
Total Medical Submitted Charge Amount |
621627 |
Total Medical Medicare Allowed Amount |
221993.3 |
Total Medical Medicare Payment Amount |
161399.53 |
Total Medical Medicare Standardized Payment Amount |
170507.54 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
491 |
Number Of Beneficiaries Age 65 to 74 |
1131 |
Number Of Beneficiaries Age 75 to 84 |
974 |
Number Of Beneficiaries Age Greater 84 |
602 |
Number Of Female Beneficiaries |
1868 |
Number Of Male Beneficiaries |
1330 |
Number Of Non Hispanic White Beneficiaries |
2893 |
Number Of Black or African American Beneficiaries |
226 |
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2468 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
730 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6946 |