National Provider Identifier [NPI]: |
1447367156 |
Last Name Of The Provider |
FARRELL |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
320 THOMAS MORE PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
CRESTVIEW HILLS |
Zip Code Of The Provider |
410173410 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
10270 |
Number Of Medicare Beneficiaries |
477 |
Total Submitted Charge Amount |
404808 |
Total Medicare Allowed Amount |
152516.91 |
Total Medicare Payment Amount |
116072.49 |
Total Medicare Standardized Payment Amount |
114863.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
9170 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
117790 |
Total Drug Medicare AllowedAmount |
54044.64 |
Total Drug Medicare PaymentAmount |
42371 |
Total Drug Medicare Standardized Payment Amount |
42371 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
1100 |
Number Of Medicare Beneficiaries With Medical Services |
477 |
Total Medical Submitted Charge Amount |
287018 |
Total Medical Medicare Allowed Amount |
98472.27 |
Total Medical Medicare Payment Amount |
73701.49 |
Total Medical Medicare Standardized Payment Amount |
72492.34 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
157 |
Number Of Beneficiaries Age 75 to 84 |
146 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
277 |
Number Of Male Beneficiaries |
200 |
Number Of Non Hispanic White Beneficiaries |
458 |
Number Of Black or African American Beneficiaries |
|
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 |
355 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
122 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
47 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
32 |
Average HCC Risk Score Of Beneficiaries |
1.6989 |