Medicare Facts for Dr. Christopher L. Kelly, OD


National Provider Identifier [NPI]: 1801827266
Last Name Of The Provider KELLY
First Name Of The Provider CHRISTOPHER
Middle Initial Of The Provider L
Credentials Of The Provider O.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1720 HIGHWAY 59 S
Street Address 2 Of The Provider
City Of The Provider THIEF RIVER FALLS
Zip Code Of The Provider 567014331
State Code Of The Provider MN
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 23
Number Of Services 1904
Number Of Medicare Beneficiaries 339
Total Submitted Charge Amount 73833.9
Total Medicare Allowed Amount 51026.46
Total Medicare Payment Amount 34974.39
Total Medicare Standardized Payment Amount 35796.71
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 23
Number Of Medical Services 1904
Number Of Medicare Beneficiaries With Medical Services 339
Total Medical Submitted Charge Amount 73833.9
Total Medical Medicare Allowed Amount 51026.46
Total Medical Medicare Payment Amount 34974.39
Total Medical Medicare Standardized Payment Amount 35796.71
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 55
Number Of Beneficiaries Age 65 to 74 104
Number Of Beneficiaries Age 75 to 84 132
Number Of Beneficiaries Age Greater 84 48
Number Of Female Beneficiaries 205
Number Of Male Beneficiaries 134
Number Of Non Hispanic White Beneficiaries 328
Number Of Black or African American Beneficiaries 0
Number Of AsianPacific Islander Beneficiaries 0
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 265
Number Of Beneficiaries With Medicare Medicaid Entitlement 74
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 3
Percent Of With Cancer 8
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 17
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 46
Percent Of With Hypertension 60
Percent Of With Ischemic Heart Disease 26
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 27
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 0.9679

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