National Provider Identifier [NPI]: |
1194706481 |
Last Name Of The Provider |
KIRLEY |
First Name Of The Provider |
FRANK |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1255 VISCAYA PKWY |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
CAPE CORAL |
Zip Code Of The Provider |
339903290 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
182 |
Number Of Services |
9416 |
Number Of Medicare Beneficiaries |
439 |
Total Submitted Charge Amount |
484626.7 |
Total Medicare Allowed Amount |
244721.44 |
Total Medicare Payment Amount |
188671.27 |
Total Medicare Standardized Payment Amount |
184473.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
2549 |
Number Of Medicare Beneficiaries With Drug Services |
169 |
Total Drug Submitted ChargeAmount |
40349.7 |
Total Drug Medicare AllowedAmount |
15770.67 |
Total Drug Medicare PaymentAmount |
13015.79 |
Total Drug Medicare Standardized Payment Amount |
13015.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
167 |
Number Of Medical Services |
6867 |
Number Of Medicare Beneficiaries With Medical Services |
439 |
Total Medical Submitted Charge Amount |
444277 |
Total Medical Medicare Allowed Amount |
228950.77 |
Total Medical Medicare Payment Amount |
175655.48 |
Total Medical Medicare Standardized Payment Amount |
171458.19 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
190 |
Number Of Beneficiaries Age 75 to 84 |
136 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
244 |
Number Of Male Beneficiaries |
195 |
Number Of Non Hispanic White Beneficiaries |
419 |
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 |
410 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
29 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1603 |