National Provider Identifier [NPI]: |
1962498113 |
Last Name Of The Provider |
GARNEAU |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3160 PARISA DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
PADUCAH |
Zip Code Of The Provider |
420034514 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
222 |
Number Of Services |
7625 |
Number Of Medicare Beneficiaries |
4561 |
Total Submitted Charge Amount |
802573 |
Total Medicare Allowed Amount |
224149.77 |
Total Medicare Payment Amount |
164382.22 |
Total Medicare Standardized Payment Amount |
175285.23 |
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 |
222 |
Number Of Medical Services |
7625 |
Number Of Medicare Beneficiaries With Medical Services |
4561 |
Total Medical Submitted Charge Amount |
802573 |
Total Medical Medicare Allowed Amount |
224149.77 |
Total Medical Medicare Payment Amount |
164382.22 |
Total Medical Medicare Standardized Payment Amount |
175285.23 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
985 |
Number Of Beneficiaries Age 65 to 74 |
1699 |
Number Of Beneficiaries Age 75 to 84 |
1319 |
Number Of Beneficiaries Age Greater 84 |
558 |
Number Of Female Beneficiaries |
2603 |
Number Of Male Beneficiaries |
1958 |
Number Of Non Hispanic White Beneficiaries |
4273 |
Number Of Black or African American Beneficiaries |
241 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
3403 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1158 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5613 |