National Provider Identifier [NPI]: |
1225039258 |
Last Name Of The Provider |
HARDISON |
First Name Of The Provider |
BARRY |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1010 MEDICAL CENTER DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
POWDERLY |
Zip Code Of The Provider |
423675463 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
119 |
Number Of Services |
14270 |
Number Of Medicare Beneficiaries |
2017 |
Total Submitted Charge Amount |
530165 |
Total Medicare Allowed Amount |
277962.34 |
Total Medicare Payment Amount |
211847.91 |
Total Medicare Standardized Payment Amount |
244518.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
9673 |
Number Of Medicare Beneficiaries With Drug Services |
120 |
Total Drug Submitted ChargeAmount |
36386 |
Total Drug Medicare AllowedAmount |
14323.73 |
Total Drug Medicare PaymentAmount |
11138.58 |
Total Drug Medicare Standardized Payment Amount |
11138.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
4597 |
Number Of Medicare Beneficiaries With Medical Services |
2017 |
Total Medical Submitted Charge Amount |
493779 |
Total Medical Medicare Allowed Amount |
263638.61 |
Total Medical Medicare Payment Amount |
200709.33 |
Total Medical Medicare Standardized Payment Amount |
233380.26 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
467 |
Number Of Beneficiaries Age 65 to 74 |
878 |
Number Of Beneficiaries Age 75 to 84 |
526 |
Number Of Beneficiaries Age Greater 84 |
146 |
Number Of Female Beneficiaries |
1303 |
Number Of Male Beneficiaries |
714 |
Number Of Non Hispanic White Beneficiaries |
1949 |
Number Of Black or African American Beneficiaries |
56 |
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 |
1513 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
504 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1166 |