National Provider Identifier [NPI]: |
1427008549 |
Last Name Of The Provider |
RONEY |
First Name Of The Provider |
WESLEY |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
299 KINGS DAUGHTERS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
FRANKFORT |
Zip Code Of The Provider |
406016514 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
175 |
Number Of Services |
4237 |
Number Of Medicare Beneficiaries |
1906 |
Total Submitted Charge Amount |
495951 |
Total Medicare Allowed Amount |
128333.76 |
Total Medicare Payment Amount |
95577.34 |
Total Medicare Standardized Payment Amount |
101745.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
175 |
Number Of Medical Services |
4237 |
Number Of Medicare Beneficiaries With Medical Services |
1906 |
Total Medical Submitted Charge Amount |
495951 |
Total Medical Medicare Allowed Amount |
128333.76 |
Total Medical Medicare Payment Amount |
95577.34 |
Total Medical Medicare Standardized Payment Amount |
101745.68 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
545 |
Number Of Beneficiaries Age 65 to 74 |
608 |
Number Of Beneficiaries Age 75 to 84 |
466 |
Number Of Beneficiaries Age Greater 84 |
287 |
Number Of Female Beneficiaries |
1166 |
Number Of Male Beneficiaries |
740 |
Number Of Non Hispanic White Beneficiaries |
1787 |
Number Of Black or African American Beneficiaries |
92 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1226 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
680 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4277 |