National Provider Identifier [NPI]: |
1942283668 |
Last Name Of The Provider |
MORGAN |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 MEDICAL VILLAGE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
EDGEWOOD |
Zip Code Of The Provider |
410173403 |
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 |
146 |
Number Of Services |
4477 |
Number Of Medicare Beneficiaries |
3082 |
Total Submitted Charge Amount |
490554 |
Total Medicare Allowed Amount |
139714.81 |
Total Medicare Payment Amount |
105847.03 |
Total Medicare Standardized Payment Amount |
113597.19 |
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 |
146 |
Number Of Medical Services |
4477 |
Number Of Medicare Beneficiaries With Medical Services |
3082 |
Total Medical Submitted Charge Amount |
490554 |
Total Medical Medicare Allowed Amount |
139714.81 |
Total Medical Medicare Payment Amount |
105847.03 |
Total Medical Medicare Standardized Payment Amount |
113597.19 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
716 |
Number Of Beneficiaries Age 65 to 74 |
1090 |
Number Of Beneficiaries Age 75 to 84 |
892 |
Number Of Beneficiaries Age Greater 84 |
384 |
Number Of Female Beneficiaries |
2027 |
Number Of Male Beneficiaries |
1055 |
Number Of Non Hispanic White Beneficiaries |
2958 |
Number Of Black or African American Beneficiaries |
70 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
2325 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
757 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6738 |