National Provider Identifier [NPI]: |
1306966858 |
Last Name Of The Provider |
KNIGHT |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2800 10TH AVE N |
Street Address 2 Of The Provider |
|
City Of The Provider |
BILLINGS |
Zip Code Of The Provider |
59107 |
State Code Of The Provider |
MT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
175 |
Number Of Services |
4571 |
Number Of Medicare Beneficiaries |
2394 |
Total Submitted Charge Amount |
950389.32 |
Total Medicare Allowed Amount |
186347.6 |
Total Medicare Payment Amount |
139176.99 |
Total Medicare Standardized Payment Amount |
142544.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1060 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
4134 |
Total Drug Medicare AllowedAmount |
251.22 |
Total Drug Medicare PaymentAmount |
196.96 |
Total Drug Medicare Standardized Payment Amount |
196.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
174 |
Number Of Medical Services |
3511 |
Number Of Medicare Beneficiaries With Medical Services |
2394 |
Total Medical Submitted Charge Amount |
946255.32 |
Total Medical Medicare Allowed Amount |
186096.38 |
Total Medical Medicare Payment Amount |
138980.03 |
Total Medical Medicare Standardized Payment Amount |
142347.8 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
340 |
Number Of Beneficiaries Age 65 to 74 |
1000 |
Number Of Beneficiaries Age 75 to 84 |
723 |
Number Of Beneficiaries Age Greater 84 |
331 |
Number Of Female Beneficiaries |
1369 |
Number Of Male Beneficiaries |
1025 |
Number Of Non Hispanic White Beneficiaries |
2169 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
150 |
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
1933 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
461 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.467 |