Medicare Facts for Dr. Michael R. Heilig, MD


National Provider Identifier [NPI]: 1811958291
Last Name Of The Provider HEILIG
First Name Of The Provider MICHAEL
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 404 SHOPPERS DRIVE
Street Address 2 Of The Provider
City Of The Provider WINCHESTER
Zip Code Of The Provider 40391
State Code Of The Provider KY
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 176
Number Of Services 22085
Number Of Medicare Beneficiaries 754
Total Submitted Charge Amount 2142061.56
Total Medicare Allowed Amount 501859.79
Total Medicare Payment Amount 378359.48
Total Medicare Standardized Payment Amount 409032.87
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 4148
Number Of Medicare Beneficiaries With Drug Services 113
Total Drug Submitted ChargeAmount 100016.56
Total Drug Medicare AllowedAmount 61627.23
Total Drug Medicare PaymentAmount 47196.81
Total Drug Medicare Standardized Payment Amount 47196.81
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 173
Number Of Medical Services 17937
Number Of Medicare Beneficiaries With Medical Services 754
Total Medical Submitted Charge Amount 2042045
Total Medical Medicare Allowed Amount 440232.56
Total Medical Medicare Payment Amount 331162.67
Total Medical Medicare Standardized Payment Amount 361836.06
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65 265
Number Of Beneficiaries Age 65 to 74 236
Number Of Beneficiaries Age 75 to 84 168
Number Of Beneficiaries Age Greater 84 85
Number Of Female Beneficiaries 530
Number Of Male Beneficiaries 224
Number Of Non Hispanic White Beneficiaries 714
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 456
Number Of Beneficiaries With Medicare Medicaid Entitlement 298
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 9
Percent Of With Cancer 7
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 19
Percent Of With Chronic Obstructive Pulmonary Disease 21
Percent Of With Depression 36
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 40
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 73
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.2015

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