Medicare Facts for Kerry L. Clark


National Provider Identifier [NPI]: 1093802365
Last Name Of The Provider CLARK
First Name Of The Provider KERRY
Middle Initial Of The Provider R
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 25751 MCBEAN PKWY
Street Address 2 Of The Provider STE 210
City Of The Provider VALENCIA
Zip Code Of The Provider 913553701
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 38
Number Of Services 506
Number Of Medicare Beneficiaries 198
Total Submitted Charge Amount 57662.8
Total Medicare Allowed Amount 39078.97
Total Medicare Payment Amount 26304.25
Total Medicare Standardized Payment Amount 25092.41
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 30
Number Of Medicare Beneficiaries With Drug Services 21
Total Drug Submitted ChargeAmount 1913.99
Total Drug Medicare AllowedAmount 758.93
Total Drug Medicare PaymentAmount 738.72
Total Drug Medicare Standardized Payment Amount 738.72
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 30
Number Of Medical Services 476
Number Of Medicare Beneficiaries With Medical Services 198
Total Medical Submitted Charge Amount 55748.81
Total Medical Medicare Allowed Amount 38320.04
Total Medical Medicare Payment Amount 25565.53
Total Medical Medicare Standardized Payment Amount 24353.69
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 41
Number Of Beneficiaries Age 65 to 74 107
Number Of Beneficiaries Age 75 to 84 38
Number Of Beneficiaries Age Greater 84 12
Number Of Female Beneficiaries 76
Number Of Male Beneficiaries 122
Number Of Non Hispanic White Beneficiaries 182
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 7
Percent Of With Cancer
Percent Of With Heart Failure 9
Percent Of With Chronic Kidney Disease 10
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 17
Percent Of With Diabetes 19
Percent Of With Hyperlipidemia 48
Percent Of With Hypertension 60
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.785

Doctor Directory | TOS | twitter | FB | Angel | blog