National Provider Identifier [NPI]: |
1861519241 |
Last Name Of The Provider |
FAUGHN |
First Name Of The Provider |
LAURA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
MORGAN ARH |
Street Address 2 Of The Provider |
476 LIBERTY RD |
City Of The Provider |
WEST LIBERTY |
Zip Code Of The Provider |
41472 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
2245 |
Number Of Medicare Beneficiaries |
460 |
Total Submitted Charge Amount |
291576.06 |
Total Medicare Allowed Amount |
141288.96 |
Total Medicare Payment Amount |
104867.32 |
Total Medicare Standardized Payment Amount |
113781.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
231 |
Number Of Medicare Beneficiaries With Drug Services |
151 |
Total Drug Submitted ChargeAmount |
7335 |
Total Drug Medicare AllowedAmount |
1975.69 |
Total Drug Medicare PaymentAmount |
1820.24 |
Total Drug Medicare Standardized Payment Amount |
1820.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
2014 |
Number Of Medicare Beneficiaries With Medical Services |
459 |
Total Medical Submitted Charge Amount |
284241.06 |
Total Medical Medicare Allowed Amount |
139313.27 |
Total Medical Medicare Payment Amount |
103047.08 |
Total Medical Medicare Standardized Payment Amount |
111960.84 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
145 |
Number Of Beneficiaries Age 65 to 74 |
156 |
Number Of Beneficiaries Age 75 to 84 |
122 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
241 |
Number Of Male Beneficiaries |
219 |
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 |
256 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
204 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
46 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4732 |