National Provider Identifier [NPI]: |
1295731636 |
Last Name Of The Provider |
SALMON |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
201 PARK ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BOWLING GREEN |
Zip Code Of The Provider |
421011759 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
101 |
Number Of Services |
3230 |
Number Of Medicare Beneficiaries |
780 |
Total Submitted Charge Amount |
300450 |
Total Medicare Allowed Amount |
138920.84 |
Total Medicare Payment Amount |
100762.73 |
Total Medicare Standardized Payment Amount |
112815.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1430 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
2610 |
Total Drug Medicare AllowedAmount |
691.45 |
Total Drug Medicare PaymentAmount |
545.65 |
Total Drug Medicare Standardized Payment Amount |
545.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
1800 |
Number Of Medicare Beneficiaries With Medical Services |
780 |
Total Medical Submitted Charge Amount |
297840 |
Total Medical Medicare Allowed Amount |
138229.39 |
Total Medical Medicare Payment Amount |
100217.08 |
Total Medical Medicare Standardized Payment Amount |
112269.97 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
332 |
Number Of Beneficiaries Age 75 to 84 |
216 |
Number Of Beneficiaries Age Greater 84 |
94 |
Number Of Female Beneficiaries |
422 |
Number Of Male Beneficiaries |
358 |
Number Of Non Hispanic White Beneficiaries |
726 |
Number Of Black or African American Beneficiaries |
38 |
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 |
619 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
161 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1995 |