Medicare Facts for Dr. Melissa K. Walton-Shirley, MD


National Provider Identifier [NPI]: 1245203355
Last Name Of The Provider WALTON-SHIRLEY
First Name Of The Provider MELISSA
Middle Initial Of The Provider K
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1004 GLENVIEW DR
Street Address 2 Of The Provider
City Of The Provider GLASGOW
Zip Code Of The Provider 421413424
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 47
Number Of Services 4537
Number Of Medicare Beneficiaries 1038
Total Submitted Charge Amount 763650.1
Total Medicare Allowed Amount 294798.26
Total Medicare Payment Amount 220635.25
Total Medicare Standardized Payment Amount 243634.39
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 1
Number Of Drug Services 49
Number Of Medicare Beneficiaries With Drug Services 49
Total Drug Submitted ChargeAmount 10780
Total Drug Medicare AllowedAmount 2593.51
Total Drug Medicare PaymentAmount 2033.25
Total Drug Medicare Standardized Payment Amount 2033.25
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 46
Number Of Medical Services 4488
Number Of Medicare Beneficiaries With Medical Services 1038
Total Medical Submitted Charge Amount 752870.1
Total Medical Medicare Allowed Amount 292204.75
Total Medical Medicare Payment Amount 218602
Total Medical Medicare Standardized Payment Amount 241601.14
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 211
Number Of Beneficiaries Age 65 to 74 380
Number Of Beneficiaries Age 75 to 84 317
Number Of Beneficiaries Age Greater 84 130
Number Of Female Beneficiaries 570
Number Of Male Beneficiaries 468
Number Of Non Hispanic White Beneficiaries 993
Number Of Black or African American Beneficiaries 34
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 631
Number Of Beneficiaries With Medicare Medicaid Entitlement 407
Percent Of With Atrial Fibrillation 22
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 9
Percent Of With Cancer 9
Percent Of With Heart Failure 37
Percent Of With Chronic Kidney Disease 33
Percent Of With Chronic Obstructive Pulmonary Disease 32
Percent Of With Depression 33
Percent Of With Diabetes 42
Percent Of With Hyperlipidemia 65
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 68
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 43
Percent Of With Schizophrenia Other PsychoticDisorders 9
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.4954

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