| National Provider Identifier [NPI]: | 1760572960 |
| Last Name Of The Provider | KEYS |
| First Name Of The Provider | KENT |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1029 CHRISTINE AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | ANNISTON |
| Zip Code Of The Provider | 362075709 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Ophthalmology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 75 |
| Number Of Services | 10981 |
| Number Of Medicare Beneficiaries | 3448 |
| Total Submitted Charge Amount | 2958663.6 |
| Total Medicare Allowed Amount | 1447446.51 |
| Total Medicare Payment Amount | 1040824.85 |
| Total Medicare Standardized Payment Amount | 1152293.23 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 184 |
| Number Of Medicare Beneficiaries With Drug Services | 21 |
| Total Drug Submitted ChargeAmount | 913.6 |
| Total Drug Medicare AllowedAmount | 557.54 |
| Total Drug Medicare PaymentAmount | 430.15 |
| Total Drug Medicare Standardized Payment Amount | 430.15 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 73 |
| Number Of Medical Services | 10797 |
| Number Of Medicare Beneficiaries With Medical Services | 3448 |
| Total Medical Submitted Charge Amount | 2957750 |
| Total Medical Medicare Allowed Amount | 1446888.97 |
| Total Medical Medicare Payment Amount | 1040394.7 |
| Total Medical Medicare Standardized Payment Amount | 1151863.08 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 382 |
| Number Of Beneficiaries Age 65 to 74 | 1313 |
| Number Of Beneficiaries Age 75 to 84 | 1273 |
| Number Of Beneficiaries Age Greater 84 | 480 |
| Number Of Female Beneficiaries | 2142 |
| Number Of Male Beneficiaries | 1306 |
| Number Of Non Hispanic White Beneficiaries | 2971 |
| Number Of Black or African American Beneficiaries | 426 |
| 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 | 24 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2903 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 545 |
| Percent Of With Atrial Fibrillation | 9 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 8 |
| Percent Of With Heart Failure | 20 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 15 |
| Percent Of With Depression | 13 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.136 |