National Provider Identifier [NPI]: |
1790798973 |
Last Name Of The Provider |
KERR |
First Name Of The Provider |
CHARLES |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
712 E THREE NOTCH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ANDALUSIA |
Zip Code Of The Provider |
364204004 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
9360 |
Number Of Medicare Beneficiaries |
384 |
Total Submitted Charge Amount |
393232 |
Total Medicare Allowed Amount |
294130.09 |
Total Medicare Payment Amount |
211558.17 |
Total Medicare Standardized Payment Amount |
230168.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1461 |
Number Of Medicare Beneficiaries With Drug Services |
303 |
Total Drug Submitted ChargeAmount |
29295 |
Total Drug Medicare AllowedAmount |
12572.69 |
Total Drug Medicare PaymentAmount |
11536.73 |
Total Drug Medicare Standardized Payment Amount |
11536.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
7899 |
Number Of Medicare Beneficiaries With Medical Services |
384 |
Total Medical Submitted Charge Amount |
363937 |
Total Medical Medicare Allowed Amount |
281557.4 |
Total Medical Medicare Payment Amount |
200021.44 |
Total Medical Medicare Standardized Payment Amount |
218631.62 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
210 |
Number Of Beneficiaries Age 75 to 84 |
120 |
Number Of Beneficiaries Age Greater 84 |
33 |
Number Of Female Beneficiaries |
216 |
Number Of Male Beneficiaries |
168 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
365 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
5 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
0.8595 |