| National Provider Identifier [NPI]: | 1154380319 |
| Last Name Of The Provider | MORAN |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2525 W UNIVERSITY AVE |
| Street Address 2 Of The Provider | SUITE 300 |
| City Of The Provider | MUNCIE |
| Zip Code Of The Provider | 473033400 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 103 |
| Number Of Services | 7639 |
| Number Of Medicare Beneficiaries | 3113 |
| Total Submitted Charge Amount | 1815217.45 |
| Total Medicare Allowed Amount | 576983.04 |
| Total Medicare Payment Amount | 427965.8 |
| Total Medicare Standardized Payment Amount | 455849.68 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 421 |
| Number Of Medicare Beneficiaries With Drug Services | 118 |
| Total Drug Submitted ChargeAmount | 53470 |
| Total Drug Medicare AllowedAmount | 21820.53 |
| Total Drug Medicare PaymentAmount | 16827.76 |
| Total Drug Medicare Standardized Payment Amount | 16827.76 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 99 |
| Number Of Medical Services | 7218 |
| Number Of Medicare Beneficiaries With Medical Services | 3113 |
| Total Medical Submitted Charge Amount | 1761747.45 |
| Total Medical Medicare Allowed Amount | 555162.51 |
| Total Medical Medicare Payment Amount | 411138.04 |
| Total Medical Medicare Standardized Payment Amount | 439021.92 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 466 |
| Number Of Beneficiaries Age 65 to 74 | 1004 |
| Number Of Beneficiaries Age 75 to 84 | 1042 |
| Number Of Beneficiaries Age Greater 84 | 601 |
| Number Of Female Beneficiaries | 1521 |
| Number Of Male Beneficiaries | 1592 |
| Number Of Non Hispanic White Beneficiaries | 2953 |
| Number Of Black or African American Beneficiaries | 116 |
| Number Of AsianPacific Islander Beneficiaries | 11 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 22 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2405 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 708 |
| Percent Of With Atrial Fibrillation | 26 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 42 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 65 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.6542 |