National Provider Identifier [NPI]: |
1336137165 |
Last Name Of The Provider |
KERNS |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2273C HORTON COVE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CAMDEN |
Zip Code Of The Provider |
290207698 |
State Code Of The Provider |
SC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
164 |
Number Of Services |
6633 |
Number Of Medicare Beneficiaries |
3386 |
Total Submitted Charge Amount |
685425 |
Total Medicare Allowed Amount |
194073.35 |
Total Medicare Payment Amount |
141426.16 |
Total Medicare Standardized Payment Amount |
149874.4 |
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 |
164 |
Number Of Medical Services |
6633 |
Number Of Medicare Beneficiaries With Medical Services |
3386 |
Total Medical Submitted Charge Amount |
685425 |
Total Medical Medicare Allowed Amount |
194073.35 |
Total Medical Medicare Payment Amount |
141426.16 |
Total Medical Medicare Standardized Payment Amount |
149874.4 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
584 |
Number Of Beneficiaries Age 65 to 74 |
1384 |
Number Of Beneficiaries Age 75 to 84 |
936 |
Number Of Beneficiaries Age Greater 84 |
482 |
Number Of Female Beneficiaries |
2035 |
Number Of Male Beneficiaries |
1351 |
Number Of Non Hispanic White Beneficiaries |
2580 |
Number Of Black or African American Beneficiaries |
739 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
2650 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
736 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3511 |