National Provider Identifier [NPI]: |
1780786863 |
Last Name Of The Provider |
MILLS |
First Name Of The Provider |
ANGELA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2821 NEW HARTFORD RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
OWENSBORO |
Zip Code Of The Provider |
423031320 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
4134 |
Number Of Medicare Beneficiaries |
868 |
Total Submitted Charge Amount |
259553.8 |
Total Medicare Allowed Amount |
204339.42 |
Total Medicare Payment Amount |
144638.38 |
Total Medicare Standardized Payment Amount |
185527.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
73 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
1911.5 |
Total Drug Medicare AllowedAmount |
1606.42 |
Total Drug Medicare PaymentAmount |
1255.17 |
Total Drug Medicare Standardized Payment Amount |
1255.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
4061 |
Number Of Medicare Beneficiaries With Medical Services |
868 |
Total Medical Submitted Charge Amount |
257642.3 |
Total Medical Medicare Allowed Amount |
202733 |
Total Medical Medicare Payment Amount |
143383.21 |
Total Medical Medicare Standardized Payment Amount |
184272.79 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
421 |
Number Of Beneficiaries Age 75 to 84 |
254 |
Number Of Beneficiaries Age Greater 84 |
98 |
Number Of Female Beneficiaries |
524 |
Number Of Male Beneficiaries |
344 |
Number Of Non Hispanic White Beneficiaries |
846 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
776 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.879 |