National Provider Identifier [NPI]: |
1831156280 |
Last Name Of The Provider |
KERR |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1700 COGDELL BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SNYDER |
Zip Code Of The Provider |
795496162 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
1288 |
Number Of Medicare Beneficiaries |
538 |
Total Submitted Charge Amount |
569702 |
Total Medicare Allowed Amount |
89903.65 |
Total Medicare Payment Amount |
67065.84 |
Total Medicare Standardized Payment Amount |
70480.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
40 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
568 |
Total Drug Medicare AllowedAmount |
227.18 |
Total Drug Medicare PaymentAmount |
211.62 |
Total Drug Medicare Standardized Payment Amount |
211.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
1248 |
Number Of Medicare Beneficiaries With Medical Services |
536 |
Total Medical Submitted Charge Amount |
569134 |
Total Medical Medicare Allowed Amount |
89676.47 |
Total Medical Medicare Payment Amount |
66854.22 |
Total Medical Medicare Standardized Payment Amount |
70269.12 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
169 |
Number Of Beneficiaries Age 75 to 84 |
188 |
Number Of Beneficiaries Age Greater 84 |
94 |
Number Of Female Beneficiaries |
310 |
Number Of Male Beneficiaries |
228 |
Number Of Non Hispanic White Beneficiaries |
429 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
89 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
372 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
166 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4407 |