National Provider Identifier [NPI]: |
1376850099 |
Last Name Of The Provider |
BRADLEY |
First Name Of The Provider |
BRUCE |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MBCHB |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
UK DIV OF HOSPITAL MEDICINE |
Street Address 2 Of The Provider |
800 ROSE STREET, MN604 |
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
405360294 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
15 |
Number Of Services |
607 |
Number Of Medicare Beneficiaries |
207 |
Total Submitted Charge Amount |
105746 |
Total Medicare Allowed Amount |
50711.87 |
Total Medicare Payment Amount |
39438.41 |
Total Medicare Standardized Payment Amount |
41371.37 |
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 |
15 |
Number Of Medical Services |
607 |
Number Of Medicare Beneficiaries With Medical Services |
207 |
Total Medical Submitted Charge Amount |
105746 |
Total Medical Medicare Allowed Amount |
50711.87 |
Total Medical Medicare Payment Amount |
39438.41 |
Total Medical Medicare Standardized Payment Amount |
41371.37 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
67 |
Number Of Beneficiaries Age 75 to 84 |
48 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
104 |
Number Of Male Beneficiaries |
103 |
Number Of Non Hispanic White Beneficiaries |
186 |
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 |
107 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
69 |
Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
Percent Of With Depression |
53 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
21 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.649 |