National Provider Identifier [NPI]: |
1528064219 |
Last Name Of The Provider |
STONE |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
120 N EAGLE CREEK DR |
Street Address 2 Of The Provider |
STE 500 |
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
405091827 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
15523 |
Number Of Medicare Beneficiaries |
1381 |
Total Submitted Charge Amount |
7966351.7 |
Total Medicare Allowed Amount |
4566789.43 |
Total Medicare Payment Amount |
3535917.42 |
Total Medicare Standardized Payment Amount |
3592590.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
7926 |
Number Of Medicare Beneficiaries With Drug Services |
582 |
Total Drug Submitted ChargeAmount |
4717571 |
Total Drug Medicare AllowedAmount |
3724762.04 |
Total Drug Medicare PaymentAmount |
2910290.93 |
Total Drug Medicare Standardized Payment Amount |
2910290.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
7597 |
Number Of Medicare Beneficiaries With Medical Services |
1381 |
Total Medical Submitted Charge Amount |
3248780.7 |
Total Medical Medicare Allowed Amount |
842027.39 |
Total Medical Medicare Payment Amount |
625626.49 |
Total Medical Medicare Standardized Payment Amount |
682299.56 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
144 |
Number Of Beneficiaries Age 65 to 74 |
459 |
Number Of Beneficiaries Age 75 to 84 |
464 |
Number Of Beneficiaries Age Greater 84 |
314 |
Number Of Female Beneficiaries |
852 |
Number Of Male Beneficiaries |
529 |
Number Of Non Hispanic White Beneficiaries |
1337 |
Number Of Black or African American Beneficiaries |
27 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1117 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
264 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4121 |