National Provider Identifier [NPI]: |
1194712273 |
Last Name Of The Provider |
PECHA |
First Name Of The Provider |
BARRY |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
101 HOSPITAL BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
JEFFERSONVILLE |
Zip Code Of The Provider |
471303748 |
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 |
132 |
Number Of Services |
8466 |
Number Of Medicare Beneficiaries |
1721 |
Total Submitted Charge Amount |
1646896.7 |
Total Medicare Allowed Amount |
599055.3 |
Total Medicare Payment Amount |
449464.09 |
Total Medicare Standardized Payment Amount |
467102.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
1749 |
Number Of Medicare Beneficiaries With Drug Services |
172 |
Total Drug Submitted ChargeAmount |
357756 |
Total Drug Medicare AllowedAmount |
122111.87 |
Total Drug Medicare PaymentAmount |
92819.47 |
Total Drug Medicare Standardized Payment Amount |
92819.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
124 |
Number Of Medical Services |
6717 |
Number Of Medicare Beneficiaries With Medical Services |
1721 |
Total Medical Submitted Charge Amount |
1289140.7 |
Total Medical Medicare Allowed Amount |
476943.43 |
Total Medical Medicare Payment Amount |
356644.62 |
Total Medical Medicare Standardized Payment Amount |
374282.63 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
259 |
Number Of Beneficiaries Age 65 to 74 |
719 |
Number Of Beneficiaries Age 75 to 84 |
539 |
Number Of Beneficiaries Age Greater 84 |
204 |
Number Of Female Beneficiaries |
583 |
Number Of Male Beneficiaries |
1138 |
Number Of Non Hispanic White Beneficiaries |
1615 |
Number Of Black or African American Beneficiaries |
77 |
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 |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1383 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
338 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3982 |