National Provider Identifier [NPI]: |
1548424773 |
Last Name Of The Provider |
KENDALL |
First Name Of The Provider |
JONATHAN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
432 16TH ST STE B |
Street Address 2 Of The Provider |
|
City Of The Provider |
ASHLAND |
Zip Code Of The Provider |
411017693 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
3324 |
Number Of Medicare Beneficiaries |
984 |
Total Submitted Charge Amount |
677435 |
Total Medicare Allowed Amount |
324127.13 |
Total Medicare Payment Amount |
246997.72 |
Total Medicare Standardized Payment Amount |
260728.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
3324 |
Number Of Medicare Beneficiaries With Medical Services |
984 |
Total Medical Submitted Charge Amount |
677435 |
Total Medical Medicare Allowed Amount |
324127.13 |
Total Medical Medicare Payment Amount |
246997.72 |
Total Medical Medicare Standardized Payment Amount |
260728.96 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
247 |
Number Of Beneficiaries Age 65 to 74 |
318 |
Number Of Beneficiaries Age 75 to 84 |
281 |
Number Of Beneficiaries Age Greater 84 |
138 |
Number Of Female Beneficiaries |
479 |
Number Of Male Beneficiaries |
505 |
Number Of Non Hispanic White Beneficiaries |
957 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
608 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
376 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
60 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
46 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
65 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
3.0963 |