National Provider Identifier [NPI]: |
1356333108 |
Last Name Of The Provider |
HINTON |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
95 KINGSWOOD DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
CAMPBELLSVILLE |
Zip Code Of The Provider |
427189604 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
4311 |
Number Of Medicare Beneficiaries |
1309 |
Total Submitted Charge Amount |
275368 |
Total Medicare Allowed Amount |
190930.46 |
Total Medicare Payment Amount |
134048.93 |
Total Medicare Standardized Payment Amount |
145241.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
63 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
1415 |
Total Drug Medicare AllowedAmount |
861.36 |
Total Drug Medicare PaymentAmount |
835.67 |
Total Drug Medicare Standardized Payment Amount |
835.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
4248 |
Number Of Medicare Beneficiaries With Medical Services |
1309 |
Total Medical Submitted Charge Amount |
273953 |
Total Medical Medicare Allowed Amount |
190069.1 |
Total Medical Medicare Payment Amount |
133213.26 |
Total Medical Medicare Standardized Payment Amount |
144405.63 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
269 |
Number Of Beneficiaries Age 65 to 74 |
469 |
Number Of Beneficiaries Age 75 to 84 |
386 |
Number Of Beneficiaries Age Greater 84 |
185 |
Number Of Female Beneficiaries |
705 |
Number Of Male Beneficiaries |
604 |
Number Of Non Hispanic White Beneficiaries |
1239 |
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 |
849 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
460 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4605 |