National Provider Identifier [NPI]: |
1922000835 |
Last Name Of The Provider |
BILLS-KAZIMI |
First Name Of The Provider |
KAY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
P.A. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
33 NEILL AVE |
Street Address 2 Of The Provider |
SUITE 208 |
City Of The Provider |
HELENA |
Zip Code Of The Provider |
596013381 |
State Code Of The Provider |
MT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
357 |
Number Of Medicare Beneficiaries |
282 |
Total Submitted Charge Amount |
47893.79 |
Total Medicare Allowed Amount |
22080.7 |
Total Medicare Payment Amount |
14367.42 |
Total Medicare Standardized Payment Amount |
17435.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
29 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
717.83 |
Total Drug Medicare AllowedAmount |
323.89 |
Total Drug Medicare PaymentAmount |
315.21 |
Total Drug Medicare Standardized Payment Amount |
315.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
328 |
Number Of Medicare Beneficiaries With Medical Services |
282 |
Total Medical Submitted Charge Amount |
47175.96 |
Total Medical Medicare Allowed Amount |
21756.81 |
Total Medical Medicare Payment Amount |
14052.21 |
Total Medical Medicare Standardized Payment Amount |
17120.48 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
127 |
Number Of Beneficiaries Age 75 to 84 |
83 |
Number Of Beneficiaries Age Greater 84 |
26 |
Number Of Female Beneficiaries |
182 |
Number Of Male Beneficiaries |
100 |
Number Of Non Hispanic White Beneficiaries |
270 |
Number Of Black or African American Beneficiaries |
0 |
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 |
235 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
33 |
Percent Of With Hypertension |
45 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0241 |