National Provider Identifier [NPI]: |
1104262757 |
Last Name Of The Provider |
KINKLE |
First Name Of The Provider |
BARBARA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
124 E OLIVE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
REDLANDS |
Zip Code Of The Provider |
923735250 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
4141 |
Number Of Medicare Beneficiaries |
1038 |
Total Submitted Charge Amount |
566424 |
Total Medicare Allowed Amount |
221908.04 |
Total Medicare Payment Amount |
148857.46 |
Total Medicare Standardized Payment Amount |
168242.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
102 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
790 |
Total Drug Medicare AllowedAmount |
182.46 |
Total Drug Medicare PaymentAmount |
125.62 |
Total Drug Medicare Standardized Payment Amount |
125.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
4039 |
Number Of Medicare Beneficiaries With Medical Services |
1038 |
Total Medical Submitted Charge Amount |
565634 |
Total Medical Medicare Allowed Amount |
221725.58 |
Total Medical Medicare Payment Amount |
148731.84 |
Total Medical Medicare Standardized Payment Amount |
168116.57 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
470 |
Number Of Beneficiaries Age 75 to 84 |
318 |
Number Of Beneficiaries Age Greater 84 |
177 |
Number Of Female Beneficiaries |
574 |
Number Of Male Beneficiaries |
464 |
Number Of Non Hispanic White Beneficiaries |
993 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
924 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
114 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9723 |