Medicare Facts for Dr. Therese Heenan, DO


National Provider Identifier [NPI]: 1467668285
Last Name Of The Provider HEENAN
First Name Of The Provider THERESE
Middle Initial Of The Provider M
Credentials Of The Provider DO
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 15900 W 101ST AVE
Street Address 2 Of The Provider
City Of The Provider DYER
Zip Code Of The Provider 463113065
State Code Of The Provider IN
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 66
Number Of Services 475
Number Of Medicare Beneficiaries 132
Total Submitted Charge Amount 39730
Total Medicare Allowed Amount 27091.73
Total Medicare Payment Amount 20205.08
Total Medicare Standardized Payment Amount 21467
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 9
Number Of Drug Services 71
Number Of Medicare Beneficiaries With Drug Services 32
Total Drug Submitted ChargeAmount 3232
Total Drug Medicare AllowedAmount 2339.54
Total Drug Medicare PaymentAmount 2251.89
Total Drug Medicare Standardized Payment Amount 2251.89
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 57
Number Of Medical Services 404
Number Of Medicare Beneficiaries With Medical Services 132
Total Medical Submitted Charge Amount 36498
Total Medical Medicare Allowed Amount 24752.19
Total Medical Medicare Payment Amount 17953.19
Total Medical Medicare Standardized Payment Amount 19215.11
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 59
Number Of Beneficiaries Age 75 to 84 43
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 90
Number Of Male Beneficiaries 42
Number Of Non Hispanic White Beneficiaries
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 10
Percent Of With Cancer 9
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 23
Percent Of With Depression 16
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 61
Percent Of With Hypertension 62
Percent Of With Ischemic Heart Disease 39
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 30
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9605

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