Medicare Facts for Donald R. Kelly, PA


National Provider Identifier [NPI]: 1942269873
Last Name Of The Provider KELLY
First Name Of The Provider DONALD
Middle Initial Of The Provider R
Credentials Of The Provider P.A.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2121 E HARMONY RD
Street Address 2 Of The Provider STE 330
City Of The Provider FORT COLLINS
Zip Code Of The Provider 805283400
State Code Of The Provider CO
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 40
Number Of Services 78
Number Of Medicare Beneficiaries 68
Total Submitted Charge Amount 113739.5
Total Medicare Allowed Amount 8195.17
Total Medicare Payment Amount 6279.46
Total Medicare Standardized Payment Amount 6357.36
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 40
Number Of Medical Services 78
Number Of Medicare Beneficiaries With Medical Services 68
Total Medical Submitted Charge Amount 113739.5
Total Medical Medicare Allowed Amount 8195.17
Total Medical Medicare Payment Amount 6279.46
Total Medical Medicare Standardized Payment Amount 6357.36
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65 20
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84 21
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 31
Number Of Male Beneficiaries 37
Number Of Non Hispanic White Beneficiaries 54
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 47
Number Of Beneficiaries With Medicare Medicaid Entitlement 21
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 19
Percent Of With Heart Failure 29
Percent Of With Chronic Kidney Disease 46
Percent Of With Chronic Obstructive Pulmonary Disease 26
Percent Of With Depression 35
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 46
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 38
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 35
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 3.2915

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