National Provider Identifier [NPI]: |
1447393244 |
Last Name Of The Provider |
KEARNEY |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
580 N WICKHAM RD |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
MELBOURNE |
Zip Code Of The Provider |
329358400 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
5584 |
Number Of Medicare Beneficiaries |
1043 |
Total Submitted Charge Amount |
671113 |
Total Medicare Allowed Amount |
424280.59 |
Total Medicare Payment Amount |
322735.55 |
Total Medicare Standardized Payment Amount |
328216.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
143 |
Number Of Medicare Beneficiaries With Drug Services |
129 |
Total Drug Submitted ChargeAmount |
7735 |
Total Drug Medicare AllowedAmount |
5014.39 |
Total Drug Medicare PaymentAmount |
4914.27 |
Total Drug Medicare Standardized Payment Amount |
4914.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
5441 |
Number Of Medicare Beneficiaries With Medical Services |
1043 |
Total Medical Submitted Charge Amount |
663378 |
Total Medical Medicare Allowed Amount |
419266.2 |
Total Medical Medicare Payment Amount |
317821.28 |
Total Medical Medicare Standardized Payment Amount |
323302.18 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
317 |
Number Of Beneficiaries Age 75 to 84 |
354 |
Number Of Beneficiaries Age Greater 84 |
276 |
Number Of Female Beneficiaries |
578 |
Number Of Male Beneficiaries |
465 |
Number Of Non Hispanic White Beneficiaries |
949 |
Number Of Black or African American Beneficiaries |
55 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
913 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
130 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
28 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
23 |
Average HCC Risk Score Of Beneficiaries |
1.8237 |