National Provider Identifier [NPI]: |
1477541407 |
Last Name Of The Provider |
CROFT |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2585 CHARLESTOWN RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEW ALBANY |
Zip Code Of The Provider |
47150 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
3497 |
Number Of Medicare Beneficiaries |
615 |
Total Submitted Charge Amount |
281582 |
Total Medicare Allowed Amount |
193948.59 |
Total Medicare Payment Amount |
137573.48 |
Total Medicare Standardized Payment Amount |
146814.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
277 |
Number Of Medicare Beneficiaries With Drug Services |
215 |
Total Drug Submitted ChargeAmount |
8937 |
Total Drug Medicare AllowedAmount |
7113 |
Total Drug Medicare PaymentAmount |
6939.49 |
Total Drug Medicare Standardized Payment Amount |
6939.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
3220 |
Number Of Medicare Beneficiaries With Medical Services |
614 |
Total Medical Submitted Charge Amount |
272645 |
Total Medical Medicare Allowed Amount |
186835.59 |
Total Medical Medicare Payment Amount |
130633.99 |
Total Medical Medicare Standardized Payment Amount |
139875.09 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
262 |
Number Of Beneficiaries Age 75 to 84 |
194 |
Number Of Beneficiaries Age Greater 84 |
111 |
Number Of Female Beneficiaries |
370 |
Number Of Male Beneficiaries |
245 |
Number Of Non Hispanic White Beneficiaries |
597 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
563 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
52 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1143 |