National Provider Identifier [NPI]: |
1790737690 |
Last Name Of The Provider |
LARKE |
First Name Of The Provider |
DARYL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5000 KY ROUTE 321 |
Street Address 2 Of The Provider |
SUITE 2129 |
City Of The Provider |
PRESTONSBURG |
Zip Code Of The Provider |
416539113 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
1452 |
Number Of Medicare Beneficiaries |
355 |
Total Submitted Charge Amount |
341644.95 |
Total Medicare Allowed Amount |
130383.71 |
Total Medicare Payment Amount |
96294.88 |
Total Medicare Standardized Payment Amount |
102557.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
40 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
2825.35 |
Total Drug Medicare AllowedAmount |
1125.4 |
Total Drug Medicare PaymentAmount |
872.56 |
Total Drug Medicare Standardized Payment Amount |
872.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
1412 |
Number Of Medicare Beneficiaries With Medical Services |
355 |
Total Medical Submitted Charge Amount |
338819.6 |
Total Medical Medicare Allowed Amount |
129258.31 |
Total Medical Medicare Payment Amount |
95422.32 |
Total Medical Medicare Standardized Payment Amount |
101684.46 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
151 |
Number Of Beneficiaries Age 65 to 74 |
115 |
Number Of Beneficiaries Age 75 to 84 |
68 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
227 |
Number Of Male Beneficiaries |
128 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
182 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
173 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3179 |