National Provider Identifier [NPI]: |
1003999251 |
Last Name Of The Provider |
BUTLER |
First Name Of The Provider |
DANNY |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2603 KENTUCKY AVENUE |
Street Address 2 Of The Provider |
SUITE 303 |
City Of The Provider |
PADUCAH |
Zip Code Of The Provider |
42003 |
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 |
67 |
Number Of Services |
9686 |
Number Of Medicare Beneficiaries |
1519 |
Total Submitted Charge Amount |
484264.5 |
Total Medicare Allowed Amount |
450940.55 |
Total Medicare Payment Amount |
318144.52 |
Total Medicare Standardized Payment Amount |
327605.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
1590 |
Number Of Medicare Beneficiaries With Drug Services |
370 |
Total Drug Submitted ChargeAmount |
11731 |
Total Drug Medicare AllowedAmount |
7397.88 |
Total Drug Medicare PaymentAmount |
6367.05 |
Total Drug Medicare Standardized Payment Amount |
6367.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
8096 |
Number Of Medicare Beneficiaries With Medical Services |
1519 |
Total Medical Submitted Charge Amount |
472533.5 |
Total Medical Medicare Allowed Amount |
443542.67 |
Total Medical Medicare Payment Amount |
311777.47 |
Total Medical Medicare Standardized Payment Amount |
321238 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
623 |
Number Of Beneficiaries Age 75 to 84 |
526 |
Number Of Beneficiaries Age Greater 84 |
237 |
Number Of Female Beneficiaries |
871 |
Number Of Male Beneficiaries |
648 |
Number Of Non Hispanic White Beneficiaries |
1460 |
Number Of Black or African American Beneficiaries |
42 |
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 |
1321 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
198 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1699 |