| National Provider Identifier [NPI]: | 1801894621 |
| Last Name Of The Provider | KIRKWOOD |
| First Name Of The Provider | TOM |
| 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 | 510 W 11TH ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | BICKNELL |
| Zip Code Of The Provider | 475129626 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Family Practice |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 65 |
| Number Of Services | 6946 |
| Number Of Medicare Beneficiaries | 617 |
| Total Submitted Charge Amount | 358398 |
| Total Medicare Allowed Amount | 305915 |
| Total Medicare Payment Amount | 214665.01 |
| Total Medicare Standardized Payment Amount | 229133.14 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 1621 |
| Number Of Medicare Beneficiaries With Drug Services | 367 |
| Total Drug Submitted ChargeAmount | 22499 |
| Total Drug Medicare AllowedAmount | 12685.17 |
| Total Drug Medicare PaymentAmount | 11155.41 |
| Total Drug Medicare Standardized Payment Amount | 11155.41 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 57 |
| Number Of Medical Services | 5325 |
| Number Of Medicare Beneficiaries With Medical Services | 617 |
| Total Medical Submitted Charge Amount | 335899 |
| Total Medical Medicare Allowed Amount | 293229.83 |
| Total Medical Medicare Payment Amount | 203509.6 |
| Total Medical Medicare Standardized Payment Amount | 217977.73 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 63 |
| Number Of Beneficiaries Age 65 to 74 | 254 |
| Number Of Beneficiaries Age 75 to 84 | 210 |
| Number Of Beneficiaries Age Greater 84 | 90 |
| Number Of Female Beneficiaries | 340 |
| Number Of Male Beneficiaries | 277 |
| Number Of Non Hispanic White Beneficiaries | |
| 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 | 530 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 87 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 2 |
| Percent Of With Cancer | 6 |
| Percent Of With Heart Failure | 12 |
| Percent Of With Chronic Kidney Disease | 10 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 9 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 54 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 28 |
| Percent Of With Osteoporosis | 5 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 35 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 0.9293 |