National Provider Identifier [NPI]: |
1831101781 |
Last Name Of The Provider |
ALLCORN |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
302 N. HWY 65 |
Street Address 2 Of The Provider |
|
City Of The Provider |
LINCOLN |
Zip Code Of The Provider |
65338 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
16919 |
Number Of Medicare Beneficiaries |
928 |
Total Submitted Charge Amount |
623218 |
Total Medicare Allowed Amount |
533300.87 |
Total Medicare Payment Amount |
381065.27 |
Total Medicare Standardized Payment Amount |
422089.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
738 |
Number Of Medicare Beneficiaries With Drug Services |
455 |
Total Drug Submitted ChargeAmount |
13954 |
Total Drug Medicare AllowedAmount |
13070.59 |
Total Drug Medicare PaymentAmount |
12136.53 |
Total Drug Medicare Standardized Payment Amount |
12136.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
16181 |
Number Of Medicare Beneficiaries With Medical Services |
928 |
Total Medical Submitted Charge Amount |
609264 |
Total Medical Medicare Allowed Amount |
520230.28 |
Total Medical Medicare Payment Amount |
368928.74 |
Total Medical Medicare Standardized Payment Amount |
409953.2 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
348 |
Number Of Beneficiaries Age 75 to 84 |
347 |
Number Of Beneficiaries Age Greater 84 |
179 |
Number Of Female Beneficiaries |
524 |
Number Of Male Beneficiaries |
404 |
Number Of Non Hispanic White Beneficiaries |
908 |
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 |
813 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
115 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.0739 |