National Provider Identifier [NPI]: |
1215936372 |
Last Name Of The Provider |
KILKELLY |
First Name Of The Provider |
FRANCIS |
Middle Initial Of The Provider |
X |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
207 BLOOMING GROVE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
HANOVER |
Zip Code Of The Provider |
173317917 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
2639 |
Number Of Medicare Beneficiaries |
527 |
Total Submitted Charge Amount |
562017.5 |
Total Medicare Allowed Amount |
247556.63 |
Total Medicare Payment Amount |
187627.33 |
Total Medicare Standardized Payment Amount |
192211 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1381 |
Number Of Medicare Beneficiaries With Drug Services |
95 |
Total Drug Submitted ChargeAmount |
25448 |
Total Drug Medicare AllowedAmount |
10174.8 |
Total Drug Medicare PaymentAmount |
7896.64 |
Total Drug Medicare Standardized Payment Amount |
7896.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
1258 |
Number Of Medicare Beneficiaries With Medical Services |
527 |
Total Medical Submitted Charge Amount |
536569.5 |
Total Medical Medicare Allowed Amount |
237381.83 |
Total Medical Medicare Payment Amount |
179730.69 |
Total Medical Medicare Standardized Payment Amount |
184314.36 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
180 |
Number Of Beneficiaries Age 75 to 84 |
181 |
Number Of Beneficiaries Age Greater 84 |
107 |
Number Of Female Beneficiaries |
345 |
Number Of Male Beneficiaries |
182 |
Number Of Non Hispanic White Beneficiaries |
514 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
472 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
74 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2676 |