National Provider Identifier [NPI]: |
1710960844 |
Last Name Of The Provider |
MCLAREN |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11725 N ILLINOIS ST |
Street Address 2 Of The Provider |
STE 595 |
City Of The Provider |
CARMEL |
Zip Code Of The Provider |
460323011 |
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 |
28 |
Number Of Services |
444 |
Number Of Medicare Beneficiaries |
138 |
Total Submitted Charge Amount |
61419 |
Total Medicare Allowed Amount |
28120.49 |
Total Medicare Payment Amount |
18582.92 |
Total Medicare Standardized Payment Amount |
19889.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
44 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
1164 |
Total Drug Medicare AllowedAmount |
608.77 |
Total Drug Medicare PaymentAmount |
587.22 |
Total Drug Medicare Standardized Payment Amount |
587.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
400 |
Number Of Medicare Beneficiaries With Medical Services |
138 |
Total Medical Submitted Charge Amount |
60255 |
Total Medical Medicare Allowed Amount |
27511.72 |
Total Medical Medicare Payment Amount |
17995.7 |
Total Medical Medicare Standardized Payment Amount |
19301.97 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
68 |
Number Of Beneficiaries Age 75 to 84 |
39 |
Number Of Beneficiaries Age Greater 84 |
12 |
Number Of Female Beneficiaries |
59 |
Number Of Male Beneficiaries |
79 |
Number Of Non Hispanic White Beneficiaries |
125 |
Number Of Black or African American Beneficiaries |
|
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 |
125 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
20 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
27 |
Percent Of With Hypertension |
41 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9241 |