National Provider Identifier [NPI]: |
1447329313 |
Last Name Of The Provider |
METCALF |
First Name Of The Provider |
KENT |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
501 S WHITE ST |
Street Address 2 Of The Provider |
SUITE ONE |
City Of The Provider |
MT PLEASANT |
Zip Code Of The Provider |
526412600 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
1252 |
Number Of Medicare Beneficiaries |
315 |
Total Submitted Charge Amount |
119022 |
Total Medicare Allowed Amount |
73066.41 |
Total Medicare Payment Amount |
51099.34 |
Total Medicare Standardized Payment Amount |
55241.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
124 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
4522 |
Total Drug Medicare AllowedAmount |
3434.79 |
Total Drug Medicare PaymentAmount |
3263.24 |
Total Drug Medicare Standardized Payment Amount |
3263.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
1128 |
Number Of Medicare Beneficiaries With Medical Services |
315 |
Total Medical Submitted Charge Amount |
114500 |
Total Medical Medicare Allowed Amount |
69631.62 |
Total Medical Medicare Payment Amount |
47836.1 |
Total Medical Medicare Standardized Payment Amount |
51978.58 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
124 |
Number Of Beneficiaries Age 75 to 84 |
91 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
179 |
Number Of Male Beneficiaries |
136 |
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 |
242 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
73 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
30 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
24 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3692 |