National Provider Identifier [NPI]: |
1326072851 |
Last Name Of The Provider |
KILE |
First Name Of The Provider |
CHRISTINA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2701 MEREDYTH DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALBANY |
Zip Code Of The Provider |
317072267 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
10896 |
Number Of Medicare Beneficiaries |
962 |
Total Submitted Charge Amount |
957729.61 |
Total Medicare Allowed Amount |
393569.68 |
Total Medicare Payment Amount |
296457.48 |
Total Medicare Standardized Payment Amount |
318587.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
1753 |
Number Of Medicare Beneficiaries With Drug Services |
73 |
Total Drug Submitted ChargeAmount |
56612.6 |
Total Drug Medicare AllowedAmount |
26016.27 |
Total Drug Medicare PaymentAmount |
20493.69 |
Total Drug Medicare Standardized Payment Amount |
20493.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
101 |
Number Of Medical Services |
9143 |
Number Of Medicare Beneficiaries With Medical Services |
962 |
Total Medical Submitted Charge Amount |
901117.01 |
Total Medical Medicare Allowed Amount |
367553.41 |
Total Medical Medicare Payment Amount |
275963.79 |
Total Medical Medicare Standardized Payment Amount |
298094.09 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
261 |
Number Of Beneficiaries Age 65 to 74 |
448 |
Number Of Beneficiaries Age 75 to 84 |
209 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
652 |
Number Of Male Beneficiaries |
310 |
Number Of Non Hispanic White Beneficiaries |
665 |
Number Of Black or African American Beneficiaries |
280 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
716 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
246 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4006 |