National Provider Identifier [NPI]: |
1861436917 |
Last Name Of The Provider |
BRYANT |
First Name Of The Provider |
BETH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1325 ANDREA ST |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
BOWLING GREEN |
Zip Code Of The Provider |
421045852 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
2151 |
Number Of Medicare Beneficiaries |
504 |
Total Submitted Charge Amount |
367379 |
Total Medicare Allowed Amount |
198905.51 |
Total Medicare Payment Amount |
150040.65 |
Total Medicare Standardized Payment Amount |
162830.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
233 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
15457 |
Total Drug Medicare AllowedAmount |
12368.73 |
Total Drug Medicare PaymentAmount |
9578.26 |
Total Drug Medicare Standardized Payment Amount |
9578.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
1918 |
Number Of Medicare Beneficiaries With Medical Services |
504 |
Total Medical Submitted Charge Amount |
351922 |
Total Medical Medicare Allowed Amount |
186536.78 |
Total Medical Medicare Payment Amount |
140462.39 |
Total Medical Medicare Standardized Payment Amount |
153252.67 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
204 |
Number Of Beneficiaries Age 75 to 84 |
164 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
275 |
Number Of Male Beneficiaries |
229 |
Number Of Non Hispanic White Beneficiaries |
475 |
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 |
428 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
76 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.2683 |