National Provider Identifier [NPI]: |
1386623775 |
Last Name Of The Provider |
KNAPP |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1245 E SOUTH BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MONTGOMERY |
Zip Code Of The Provider |
361162315 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
9623 |
Number Of Medicare Beneficiaries |
3617 |
Total Submitted Charge Amount |
438106 |
Total Medicare Allowed Amount |
344789.16 |
Total Medicare Payment Amount |
235766.38 |
Total Medicare Standardized Payment Amount |
261022.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
977 |
Number Of Medicare Beneficiaries With Drug Services |
481 |
Total Drug Submitted ChargeAmount |
15588 |
Total Drug Medicare AllowedAmount |
9312.55 |
Total Drug Medicare PaymentAmount |
8066.29 |
Total Drug Medicare Standardized Payment Amount |
8066.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
8646 |
Number Of Medicare Beneficiaries With Medical Services |
3617 |
Total Medical Submitted Charge Amount |
422518 |
Total Medical Medicare Allowed Amount |
335476.61 |
Total Medical Medicare Payment Amount |
227700.09 |
Total Medical Medicare Standardized Payment Amount |
252956.7 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
849 |
Number Of Beneficiaries Age 65 to 74 |
1219 |
Number Of Beneficiaries Age 75 to 84 |
1020 |
Number Of Beneficiaries Age Greater 84 |
529 |
Number Of Female Beneficiaries |
2149 |
Number Of Male Beneficiaries |
1468 |
Number Of Non Hispanic White Beneficiaries |
2149 |
Number Of Black or African American Beneficiaries |
1412 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
2629 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
988 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6727 |