National Provider Identifier [NPI]: |
1942290481 |
Last Name Of The Provider |
CHENAULT |
First Name Of The Provider |
KATHRYN |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2215 WILDWOOD AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SHERWOOD |
Zip Code Of The Provider |
721205089 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
34461 |
Number Of Medicare Beneficiaries |
827 |
Total Submitted Charge Amount |
1977059.78 |
Total Medicare Allowed Amount |
780568.31 |
Total Medicare Payment Amount |
586279.3 |
Total Medicare Standardized Payment Amount |
609576.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
32209 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
1503184.28 |
Total Drug Medicare AllowedAmount |
520161.35 |
Total Drug Medicare PaymentAmount |
399442.38 |
Total Drug Medicare Standardized Payment Amount |
399442.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
2252 |
Number Of Medicare Beneficiaries With Medical Services |
827 |
Total Medical Submitted Charge Amount |
473875.5 |
Total Medical Medicare Allowed Amount |
260406.96 |
Total Medical Medicare Payment Amount |
186836.92 |
Total Medical Medicare Standardized Payment Amount |
210134.06 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
245 |
Number Of Beneficiaries Age 65 to 74 |
251 |
Number Of Beneficiaries Age 75 to 84 |
251 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
538 |
Number Of Male Beneficiaries |
289 |
Number Of Non Hispanic White Beneficiaries |
740 |
Number Of Black or African American Beneficiaries |
70 |
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 |
678 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
149 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.3564 |