National Provider Identifier [NPI]: |
1447265186 |
Last Name Of The Provider |
KAY |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2610 ENTERPRISE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
ANDERSON |
Zip Code Of The Provider |
460139684 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
124 |
Number Of Services |
6641 |
Number Of Medicare Beneficiaries |
491 |
Total Submitted Charge Amount |
1242203 |
Total Medicare Allowed Amount |
250074.46 |
Total Medicare Payment Amount |
185914.39 |
Total Medicare Standardized Payment Amount |
196086.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
4689 |
Number Of Medicare Beneficiaries With Drug Services |
220 |
Total Drug Submitted ChargeAmount |
101336 |
Total Drug Medicare AllowedAmount |
31337.65 |
Total Drug Medicare PaymentAmount |
24360.55 |
Total Drug Medicare Standardized Payment Amount |
24360.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
119 |
Number Of Medical Services |
1952 |
Number Of Medicare Beneficiaries With Medical Services |
491 |
Total Medical Submitted Charge Amount |
1140867 |
Total Medical Medicare Allowed Amount |
218736.81 |
Total Medical Medicare Payment Amount |
161553.84 |
Total Medical Medicare Standardized Payment Amount |
171725.77 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
229 |
Number Of Beneficiaries Age 75 to 84 |
130 |
Number Of Beneficiaries Age Greater 84 |
73 |
Number Of Female Beneficiaries |
334 |
Number Of Male Beneficiaries |
157 |
Number Of Non Hispanic White Beneficiaries |
438 |
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 |
413 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1567 |