| National Provider Identifier [NPI]: | 1821059395 |
| Last Name Of The Provider | MILLER |
| First Name Of The Provider | KEVIN |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 700 SAN GABRIEL VILLAGE BLVD |
| Street Address 2 Of The Provider | STE 105 |
| City Of The Provider | GEORGETOWN |
| Zip Code Of The Provider | 786265594 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 104 |
| Number Of Services | 17398 |
| Number Of Medicare Beneficiaries | 2960 |
| Total Submitted Charge Amount | 2210736.39 |
| Total Medicare Allowed Amount | 1032896.77 |
| Total Medicare Payment Amount | 771363.15 |
| Total Medicare Standardized Payment Amount | 810930.69 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 103 |
| Number Of Medicare Beneficiaries With Drug Services | 54 |
| Total Drug Submitted ChargeAmount | 27056.5 |
| Total Drug Medicare AllowedAmount | 25514.47 |
| Total Drug Medicare PaymentAmount | 19958.63 |
| Total Drug Medicare Standardized Payment Amount | 19958.63 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 103 |
| Number Of Medical Services | 17295 |
| Number Of Medicare Beneficiaries With Medical Services | 2955 |
| Total Medical Submitted Charge Amount | 2183679.89 |
| Total Medical Medicare Allowed Amount | 1007382.3 |
| Total Medical Medicare Payment Amount | 751404.52 |
| Total Medical Medicare Standardized Payment Amount | 790972.06 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 28 |
| Number Of Beneficiaries Age 65 to 74 | 1453 |
| Number Of Beneficiaries Age 75 to 84 | 1145 |
| Number Of Beneficiaries Age Greater 84 | 334 |
| Number Of Female Beneficiaries | 1361 |
| Number Of Male Beneficiaries | 1599 |
| Number Of Non Hispanic White Beneficiaries | 2899 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 27 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 23 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2938 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 22 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 12 |
| Percent Of With Chronic Kidney Disease | 11 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 8 |
| Percent Of With Depression | 12 |
| Percent Of With Diabetes | 21 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 56 |
| Percent Of With Ischemic Heart Disease | 33 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 33 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 0.8474 |