National Provider Identifier [NPI]: |
1497795116 |
Last Name Of The Provider |
ROGERS |
First Name Of The Provider |
SHELLY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 STERLING WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
MT STERLING |
Zip Code Of The Provider |
403531176 |
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 |
93 |
Number Of Services |
4417 |
Number Of Medicare Beneficiaries |
706 |
Total Submitted Charge Amount |
348164.46 |
Total Medicare Allowed Amount |
286116.58 |
Total Medicare Payment Amount |
203162.59 |
Total Medicare Standardized Payment Amount |
220989.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
606 |
Number Of Medicare Beneficiaries With Drug Services |
280 |
Total Drug Submitted ChargeAmount |
14645 |
Total Drug Medicare AllowedAmount |
8795.39 |
Total Drug Medicare PaymentAmount |
8400.29 |
Total Drug Medicare Standardized Payment Amount |
8400.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
3811 |
Number Of Medicare Beneficiaries With Medical Services |
706 |
Total Medical Submitted Charge Amount |
333519.46 |
Total Medical Medicare Allowed Amount |
277321.19 |
Total Medical Medicare Payment Amount |
194762.3 |
Total Medical Medicare Standardized Payment Amount |
212589.37 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
256 |
Number Of Beneficiaries Age 75 to 84 |
218 |
Number Of Beneficiaries Age Greater 84 |
148 |
Number Of Female Beneficiaries |
462 |
Number Of Male Beneficiaries |
244 |
Number Of Non Hispanic White Beneficiaries |
675 |
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 |
530 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
176 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2891 |