National Provider Identifier [NPI]: |
1730155730 |
Last Name Of The Provider |
KERRIGAN |
First Name Of The Provider |
FRANK |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
42575 WASHINGTON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
PALM DESERT |
Zip Code Of The Provider |
922118850 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
3436 |
Number Of Medicare Beneficiaries |
1083 |
Total Submitted Charge Amount |
409992.2 |
Total Medicare Allowed Amount |
242175.38 |
Total Medicare Payment Amount |
160494.76 |
Total Medicare Standardized Payment Amount |
154108.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
22 |
Number Of Drug Services |
445 |
Number Of Medicare Beneficiaries With Drug Services |
192 |
Total Drug Submitted ChargeAmount |
11308.2 |
Total Drug Medicare AllowedAmount |
3727.61 |
Total Drug Medicare PaymentAmount |
3360.12 |
Total Drug Medicare Standardized Payment Amount |
3360.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
2991 |
Number Of Medicare Beneficiaries With Medical Services |
1083 |
Total Medical Submitted Charge Amount |
398684 |
Total Medical Medicare Allowed Amount |
238447.77 |
Total Medical Medicare Payment Amount |
157134.64 |
Total Medical Medicare Standardized Payment Amount |
150748.47 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
655 |
Number Of Beneficiaries Age 75 to 84 |
304 |
Number Of Beneficiaries Age Greater 84 |
78 |
Number Of Female Beneficiaries |
598 |
Number Of Male Beneficiaries |
485 |
Number Of Non Hispanic White Beneficiaries |
984 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
63 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1061 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8396 |