National Provider Identifier [NPI]: |
1295832913 |
Last Name Of The Provider |
TAYLOR |
First Name Of The Provider |
FRANK |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 CLINIC DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
MADISONVILLE |
Zip Code Of The Provider |
424311661 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
4631 |
Number Of Medicare Beneficiaries |
580 |
Total Submitted Charge Amount |
335658 |
Total Medicare Allowed Amount |
183241.32 |
Total Medicare Payment Amount |
135403.66 |
Total Medicare Standardized Payment Amount |
146778.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
994 |
Number Of Medicare Beneficiaries With Drug Services |
217 |
Total Drug Submitted ChargeAmount |
9901 |
Total Drug Medicare AllowedAmount |
3576.43 |
Total Drug Medicare PaymentAmount |
2602.6 |
Total Drug Medicare Standardized Payment Amount |
2602.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
3637 |
Number Of Medicare Beneficiaries With Medical Services |
580 |
Total Medical Submitted Charge Amount |
325757 |
Total Medical Medicare Allowed Amount |
179664.89 |
Total Medical Medicare Payment Amount |
132801.06 |
Total Medical Medicare Standardized Payment Amount |
144176.25 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
159 |
Number Of Beneficiaries Age 65 to 74 |
215 |
Number Of Beneficiaries Age 75 to 84 |
169 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
308 |
Number Of Male Beneficiaries |
272 |
Number Of Non Hispanic White Beneficiaries |
529 |
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 |
403 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
177 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
25 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
66 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.6893 |