National Provider Identifier [NPI]: |
1912002387 |
Last Name Of The Provider |
ROBERTSON |
First Name Of The Provider |
CURTIS |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
P.A.-C. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 BOB O LINK DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
405043756 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
3896 |
Number Of Medicare Beneficiaries |
583 |
Total Submitted Charge Amount |
468822 |
Total Medicare Allowed Amount |
86966.83 |
Total Medicare Payment Amount |
63184.05 |
Total Medicare Standardized Payment Amount |
74978.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2906 |
Number Of Medicare Beneficiaries With Drug Services |
200 |
Total Drug Submitted ChargeAmount |
104766 |
Total Drug Medicare AllowedAmount |
13786.95 |
Total Drug Medicare PaymentAmount |
10281.84 |
Total Drug Medicare Standardized Payment Amount |
10281.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
990 |
Number Of Medicare Beneficiaries With Medical Services |
582 |
Total Medical Submitted Charge Amount |
364056 |
Total Medical Medicare Allowed Amount |
73179.88 |
Total Medical Medicare Payment Amount |
52902.21 |
Total Medical Medicare Standardized Payment Amount |
64696.64 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
308 |
Number Of Beneficiaries Age 75 to 84 |
176 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
391 |
Number Of Male Beneficiaries |
192 |
Number Of Non Hispanic White Beneficiaries |
553 |
Number Of Black or African American Beneficiaries |
12 |
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 |
524 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
59 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0178 |