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 |