| National Provider Identifier [NPI]: | 1013983873 |
| Last Name Of The Provider | PENNINGTON |
| First Name Of The Provider | KERRY |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1012 E CHURCH ST |
| Street Address 2 Of The Provider | SUITE A |
| City Of The Provider | WARREN |
| Zip Code Of The Provider | 716713509 |
| State Code Of The Provider | AR |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Family Practice |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 199 |
| Number Of Services | 16088 |
| Number Of Medicare Beneficiaries | 999 |
| Total Submitted Charge Amount | 818922 |
| Total Medicare Allowed Amount | 439367.06 |
| Total Medicare Payment Amount | 322845.21 |
| Total Medicare Standardized Payment Amount | 345705.56 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 20 |
| Number Of Drug Services | 2255 |
| Number Of Medicare Beneficiaries With Drug Services | 575 |
| Total Drug Submitted ChargeAmount | 23621 |
| Total Drug Medicare AllowedAmount | 18383.26 |
| Total Drug Medicare PaymentAmount | 17457.15 |
| Total Drug Medicare Standardized Payment Amount | 17457.15 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 179 |
| Number Of Medical Services | 13833 |
| Number Of Medicare Beneficiaries With Medical Services | 999 |
| Total Medical Submitted Charge Amount | 795301 |
| Total Medical Medicare Allowed Amount | 420983.8 |
| Total Medical Medicare Payment Amount | 305388.06 |
| Total Medical Medicare Standardized Payment Amount | 328248.41 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 131 |
| Number Of Beneficiaries Age 65 to 74 | 389 |
| Number Of Beneficiaries Age 75 to 84 | 325 |
| Number Of Beneficiaries Age Greater 84 | 154 |
| Number Of Female Beneficiaries | 601 |
| Number Of Male Beneficiaries | 398 |
| Number Of Non Hispanic White Beneficiaries | 821 |
| 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 | 804 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 195 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 12 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 42 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.0615 |