National Provider Identifier [NPI]: |
1770895195 |
Last Name Of The Provider |
HARPER |
First Name Of The Provider |
SEAN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
PA |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6905 E 96TH ST |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
INDIANAPOLIS |
Zip Code Of The Provider |
462504448 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
15 |
Number Of Services |
638 |
Number Of Medicare Beneficiaries |
452 |
Total Submitted Charge Amount |
208053 |
Total Medicare Allowed Amount |
56965.68 |
Total Medicare Payment Amount |
41218.33 |
Total Medicare Standardized Payment Amount |
52766.6 |
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 |
15 |
Number Of Medical Services |
638 |
Number Of Medicare Beneficiaries With Medical Services |
452 |
Total Medical Submitted Charge Amount |
208053 |
Total Medical Medicare Allowed Amount |
56965.68 |
Total Medical Medicare Payment Amount |
41218.33 |
Total Medical Medicare Standardized Payment Amount |
52766.6 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
141 |
Number Of Beneficiaries Age 65 to 74 |
146 |
Number Of Beneficiaries Age 75 to 84 |
111 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
264 |
Number Of Male Beneficiaries |
188 |
Number Of Non Hispanic White Beneficiaries |
401 |
Number Of Black or African American Beneficiaries |
37 |
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 |
309 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
143 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7332 |