National Provider Identifier [NPI]: |
1275642860 |
Last Name Of The Provider |
HAMNER |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
478 WHIRLAWAY DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
DANVILLE |
Zip Code Of The Provider |
404229037 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
4335 |
Number Of Medicare Beneficiaries |
836 |
Total Submitted Charge Amount |
301112.78 |
Total Medicare Allowed Amount |
174838.4 |
Total Medicare Payment Amount |
118749.4 |
Total Medicare Standardized Payment Amount |
129274.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
243 |
Number Of Medicare Beneficiaries With Drug Services |
180 |
Total Drug Submitted ChargeAmount |
26122 |
Total Drug Medicare AllowedAmount |
15441.95 |
Total Drug Medicare PaymentAmount |
14960.51 |
Total Drug Medicare Standardized Payment Amount |
14960.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
4092 |
Number Of Medicare Beneficiaries With Medical Services |
836 |
Total Medical Submitted Charge Amount |
274990.78 |
Total Medical Medicare Allowed Amount |
159396.45 |
Total Medical Medicare Payment Amount |
103788.89 |
Total Medical Medicare Standardized Payment Amount |
114313.96 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
134 |
Number Of Beneficiaries Age 65 to 74 |
353 |
Number Of Beneficiaries Age 75 to 84 |
227 |
Number Of Beneficiaries Age Greater 84 |
122 |
Number Of Female Beneficiaries |
476 |
Number Of Male Beneficiaries |
360 |
Number Of Non Hispanic White Beneficiaries |
794 |
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 |
630 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
206 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2639 |