National Provider Identifier [NPI]: |
1326133810 |
Last Name Of The Provider |
KENDALL |
First Name Of The Provider |
MARTHA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3917 WEST RD STE 150 |
Street Address 2 Of The Provider |
|
City Of The Provider |
LOS ALAMOS |
Zip Code Of The Provider |
875445303 |
State Code Of The Provider |
NM |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
1223 |
Number Of Medicare Beneficiaries |
293 |
Total Submitted Charge Amount |
120261.16 |
Total Medicare Allowed Amount |
67342.95 |
Total Medicare Payment Amount |
47828.92 |
Total Medicare Standardized Payment Amount |
50102.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
455 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
14256.72 |
Total Drug Medicare AllowedAmount |
10744.3 |
Total Drug Medicare PaymentAmount |
8974.27 |
Total Drug Medicare Standardized Payment Amount |
8974.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
768 |
Number Of Medicare Beneficiaries With Medical Services |
293 |
Total Medical Submitted Charge Amount |
106004.44 |
Total Medical Medicare Allowed Amount |
56598.65 |
Total Medical Medicare Payment Amount |
38854.65 |
Total Medical Medicare Standardized Payment Amount |
41127.96 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
152 |
Number Of Beneficiaries Age 75 to 84 |
95 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
196 |
Number Of Male Beneficiaries |
97 |
Number Of Non Hispanic White Beneficiaries |
244 |
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 |
278 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
14 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8152 |