National Provider Identifier [NPI]: |
1831292309 |
Last Name Of The Provider |
FERGUSON |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1401HARRODSBURG RD |
Street Address 2 Of The Provider |
C335 |
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
40504 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
9507 |
Number Of Medicare Beneficiaries |
1085 |
Total Submitted Charge Amount |
420697 |
Total Medicare Allowed Amount |
306398.89 |
Total Medicare Payment Amount |
232235.7 |
Total Medicare Standardized Payment Amount |
246559.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
6283 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
12922 |
Total Drug Medicare AllowedAmount |
11887.76 |
Total Drug Medicare PaymentAmount |
8518.73 |
Total Drug Medicare Standardized Payment Amount |
8518.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
3224 |
Number Of Medicare Beneficiaries With Medical Services |
1085 |
Total Medical Submitted Charge Amount |
407775 |
Total Medical Medicare Allowed Amount |
294511.13 |
Total Medical Medicare Payment Amount |
223716.97 |
Total Medical Medicare Standardized Payment Amount |
238040.32 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
248 |
Number Of Beneficiaries Age 65 to 74 |
374 |
Number Of Beneficiaries Age 75 to 84 |
328 |
Number Of Beneficiaries Age Greater 84 |
135 |
Number Of Female Beneficiaries |
515 |
Number Of Male Beneficiaries |
570 |
Number Of Non Hispanic White Beneficiaries |
944 |
Number Of Black or African American Beneficiaries |
125 |
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 |
772 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
313 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
57 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
3.4919 |