National Provider Identifier [NPI]: |
1447501143 |
Last Name Of The Provider |
BELL |
First Name Of The Provider |
CATHERINE |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
PA |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4130 DUTCHMANS LN |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
LOUISVILLE |
Zip Code Of The Provider |
402074713 |
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 |
33 |
Number Of Services |
2039 |
Number Of Medicare Beneficiaries |
347 |
Total Submitted Charge Amount |
408640.43 |
Total Medicare Allowed Amount |
87885.16 |
Total Medicare Payment Amount |
66031.54 |
Total Medicare Standardized Payment Amount |
77179.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
898 |
Number Of Medicare Beneficiaries With Drug Services |
145 |
Total Drug Submitted ChargeAmount |
50375 |
Total Drug Medicare AllowedAmount |
25638.43 |
Total Drug Medicare PaymentAmount |
19975.94 |
Total Drug Medicare Standardized Payment Amount |
19975.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
1141 |
Number Of Medicare Beneficiaries With Medical Services |
347 |
Total Medical Submitted Charge Amount |
358265.43 |
Total Medical Medicare Allowed Amount |
62246.73 |
Total Medical Medicare Payment Amount |
46055.6 |
Total Medical Medicare Standardized Payment Amount |
57203.27 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
176 |
Number Of Beneficiaries Age 75 to 84 |
81 |
Number Of Beneficiaries Age Greater 84 |
56 |
Number Of Female Beneficiaries |
233 |
Number Of Male Beneficiaries |
114 |
Number Of Non Hispanic White Beneficiaries |
313 |
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 |
325 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0888 |