National Provider Identifier [NPI]: |
1902957400 |
Last Name Of The Provider |
SUER |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4000 W WOODWAY DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
MUNCIE |
Zip Code Of The Provider |
473044264 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
136 |
Number Of Services |
37180 |
Number Of Medicare Beneficiaries |
2447 |
Total Submitted Charge Amount |
1618147.44 |
Total Medicare Allowed Amount |
811515.32 |
Total Medicare Payment Amount |
627801.09 |
Total Medicare Standardized Payment Amount |
666283.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
5886 |
Number Of Medicare Beneficiaries With Drug Services |
703 |
Total Drug Submitted ChargeAmount |
123041.9 |
Total Drug Medicare AllowedAmount |
71988.94 |
Total Drug Medicare PaymentAmount |
59008.18 |
Total Drug Medicare Standardized Payment Amount |
59008.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
122 |
Number Of Medical Services |
31294 |
Number Of Medicare Beneficiaries With Medical Services |
2447 |
Total Medical Submitted Charge Amount |
1495105.54 |
Total Medical Medicare Allowed Amount |
739526.38 |
Total Medical Medicare Payment Amount |
568792.91 |
Total Medical Medicare Standardized Payment Amount |
607275.08 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
310 |
Number Of Beneficiaries Age 65 to 74 |
899 |
Number Of Beneficiaries Age 75 to 84 |
743 |
Number Of Beneficiaries Age Greater 84 |
495 |
Number Of Female Beneficiaries |
1437 |
Number Of Male Beneficiaries |
1010 |
Number Of Non Hispanic White Beneficiaries |
2319 |
Number Of Black or African American Beneficiaries |
92 |
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 |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
1983 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
464 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3511 |