National Provider Identifier [NPI]: |
1700170602 |
Last Name Of The Provider |
MEADOWS |
First Name Of The Provider |
KRISTOPHER |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
709 N JUSTICE ST |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
HENDERSONVILLE |
Zip Code Of The Provider |
287913454 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
450 |
Number Of Medicare Beneficiaries |
133 |
Total Submitted Charge Amount |
22471.2 |
Total Medicare Allowed Amount |
19036.43 |
Total Medicare Payment Amount |
14171.3 |
Total Medicare Standardized Payment Amount |
15488.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
142 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
1014.52 |
Total Drug Medicare AllowedAmount |
107.58 |
Total Drug Medicare PaymentAmount |
80.9 |
Total Drug Medicare Standardized Payment Amount |
80.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
308 |
Number Of Medicare Beneficiaries With Medical Services |
133 |
Total Medical Submitted Charge Amount |
21456.68 |
Total Medical Medicare Allowed Amount |
18928.85 |
Total Medical Medicare Payment Amount |
14090.4 |
Total Medical Medicare Standardized Payment Amount |
15407.53 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
63 |
Number Of Beneficiaries Age 75 to 84 |
28 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
80 |
Number Of Male Beneficiaries |
53 |
Number Of Non Hispanic White Beneficiaries |
119 |
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 |
103 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
30 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
10 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9619 |