National Provider Identifier [NPI]: |
1205896818 |
Last Name Of The Provider |
MILTON |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8301 HARCOURT ROAD |
Street Address 2 Of The Provider |
SUITE #200 |
City Of The Provider |
INDIANAPOLIS |
Zip Code Of The Provider |
46260 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
118 |
Number Of Services |
150381 |
Number Of Medicare Beneficiaries |
699 |
Total Submitted Charge Amount |
3927261.55 |
Total Medicare Allowed Amount |
2712770.5 |
Total Medicare Payment Amount |
2105592.02 |
Total Medicare Standardized Payment Amount |
2118001.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
60 |
Number Of Drug Services |
139919 |
Number Of Medicare Beneficiaries With Drug Services |
137 |
Total Drug Submitted ChargeAmount |
3203078 |
Total Drug Medicare AllowedAmount |
2272626.24 |
Total Drug Medicare PaymentAmount |
1764580.53 |
Total Drug Medicare Standardized Payment Amount |
1764580.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
10462 |
Number Of Medicare Beneficiaries With Medical Services |
699 |
Total Medical Submitted Charge Amount |
724183.55 |
Total Medical Medicare Allowed Amount |
440144.26 |
Total Medical Medicare Payment Amount |
341011.49 |
Total Medical Medicare Standardized Payment Amount |
353420.64 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
273 |
Number Of Beneficiaries Age 75 to 84 |
244 |
Number Of Beneficiaries Age Greater 84 |
119 |
Number Of Female Beneficiaries |
399 |
Number Of Male Beneficiaries |
300 |
Number Of Non Hispanic White Beneficiaries |
642 |
Number Of Black or African American Beneficiaries |
38 |
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 |
611 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
88 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
48 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7649 |