Medicare Facts for Dr. Kenneth R. Higgins, DO


National Provider Identifier [NPI]: 1073573929
Last Name Of The Provider HIGGINS
First Name Of The Provider KENNETH
Middle Initial Of The Provider R
Credentials Of The Provider DO
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2471 S QUEEN ST
Street Address 2 Of The Provider
City Of The Provider YORK
Zip Code Of The Provider 174024947
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 54
Number Of Services 2135
Number Of Medicare Beneficiaries 213
Total Submitted Charge Amount 165472
Total Medicare Allowed Amount 140179.07
Total Medicare Payment Amount 104512.53
Total Medicare Standardized Payment Amount 109839.4
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 198
Number Of Medicare Beneficiaries With Drug Services 130
Total Drug Submitted ChargeAmount 11823
Total Drug Medicare AllowedAmount 8837.25
Total Drug Medicare PaymentAmount 8593.72
Total Drug Medicare Standardized Payment Amount 8593.72
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 47
Number Of Medical Services 1937
Number Of Medicare Beneficiaries With Medical Services 213
Total Medical Submitted Charge Amount 153649
Total Medical Medicare Allowed Amount 131341.82
Total Medical Medicare Payment Amount 95918.81
Total Medical Medicare Standardized Payment Amount 101245.68
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 11
Number Of Beneficiaries Age 65 to 74 96
Number Of Beneficiaries Age 75 to 84 62
Number Of Beneficiaries Age Greater 84 44
Number Of Female Beneficiaries 91
Number Of Male Beneficiaries 122
Number Of Non Hispanic White Beneficiaries
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 16
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma
Percent Of With Cancer 10
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 46
Percent Of With Chronic Obstructive Pulmonary Disease 7
Percent Of With Depression 17
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 38
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 35
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.002

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