National Provider Identifier [NPI]: |
1396730552 |
Last Name Of The Provider |
BAILEY |
First Name Of The Provider |
BILLY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
125 AUGUSTA AVE |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
PADUCAH |
Zip Code Of The Provider |
420035515 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
17 |
Number Of Services |
8182 |
Number Of Medicare Beneficiaries |
663 |
Total Submitted Charge Amount |
377813.69 |
Total Medicare Allowed Amount |
279513.05 |
Total Medicare Payment Amount |
197024.57 |
Total Medicare Standardized Payment Amount |
215561.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
47 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
705 |
Total Drug Medicare AllowedAmount |
143.53 |
Total Drug Medicare PaymentAmount |
106.06 |
Total Drug Medicare Standardized Payment Amount |
106.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
8135 |
Number Of Medicare Beneficiaries With Medical Services |
663 |
Total Medical Submitted Charge Amount |
377108.69 |
Total Medical Medicare Allowed Amount |
279369.52 |
Total Medical Medicare Payment Amount |
196918.51 |
Total Medical Medicare Standardized Payment Amount |
215455.84 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
142 |
Number Of Beneficiaries Age 65 to 74 |
266 |
Number Of Beneficiaries Age 75 to 84 |
192 |
Number Of Beneficiaries Age Greater 84 |
63 |
Number Of Female Beneficiaries |
454 |
Number Of Male Beneficiaries |
209 |
Number Of Non Hispanic White Beneficiaries |
638 |
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 |
574 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
89 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1548 |