Medicare Facts for Dr. Michael T. Kelly, DMD


National Provider Identifier [NPI]: 1720171309
Last Name Of The Provider KELLY
First Name Of The Provider MICHAEL
Middle Initial Of The Provider W
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 200 PATEWOOD DR
Street Address 2 Of The Provider SUITE B200
City Of The Provider GREENVILLE
Zip Code Of The Provider 296153593
State Code Of The Provider SC
Country Code Of The Provider US
Provider Type Of The Provider Gastroenterology
Medicare Participation Indicator Y
Number Of HCPCS 30
Number Of Services 548
Number Of Medicare Beneficiaries 198
Total Submitted Charge Amount 136024
Total Medicare Allowed Amount 46878.06
Total Medicare Payment Amount 36821.39
Total Medicare Standardized Payment Amount 38782.04
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 30
Number Of Medical Services 548
Number Of Medicare Beneficiaries With Medical Services 198
Total Medical Submitted Charge Amount 136024
Total Medical Medicare Allowed Amount 46878.06
Total Medical Medicare Payment Amount 36821.39
Total Medical Medicare Standardized Payment Amount 38782.04
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 58
Number Of Beneficiaries Age 65 to 74 66
Number Of Beneficiaries Age 75 to 84 42
Number Of Beneficiaries Age Greater 84 32
Number Of Female Beneficiaries 94
Number Of Male Beneficiaries 104
Number Of Non Hispanic White Beneficiaries 143
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 137
Number Of Beneficiaries With Medicare Medicaid Entitlement 61
Percent Of With Atrial Fibrillation 28
Percent Of With Alzheimers Disease or Dementia 25
Percent Of With Asthma 13
Percent Of With Cancer 17
Percent Of With Heart Failure 48
Percent Of With Chronic Kidney Disease 67
Percent Of With Chronic Obstructive Pulmonary Disease 33
Percent Of With Depression 35
Percent Of With Diabetes 49
Percent Of With Hyperlipidemia 68
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 58
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders 7
Percent Of With Stroke 10
Average HCC Risk Score Of Beneficiaries 2.92

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