Medicare Facts for Dr. Kenneth J. Mekelburg, MD


National Provider Identifier [NPI]: 1619975166
Last Name Of The Provider MEKELBURG
First Name Of The Provider KENNETH
Middle Initial Of The Provider J
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2525 VIKING DRIVE
Street Address 2 Of The Provider
City Of The Provider BOSSIER CITY
Zip Code Of The Provider 711112103
State Code Of The Provider LA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 22
Number Of Services 3524
Number Of Medicare Beneficiaries 686
Total Submitted Charge Amount 467202
Total Medicare Allowed Amount 257061.14
Total Medicare Payment Amount 199071.6
Total Medicare Standardized Payment Amount 206546.27
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 22
Number Of Medical Services 3524
Number Of Medicare Beneficiaries With Medical Services 686
Total Medical Submitted Charge Amount 467202
Total Medical Medicare Allowed Amount 257061.14
Total Medical Medicare Payment Amount 199071.6
Total Medical Medicare Standardized Payment Amount 206546.27
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 115
Number Of Beneficiaries Age 65 to 74 219
Number Of Beneficiaries Age 75 to 84 224
Number Of Beneficiaries Age Greater 84 128
Number Of Female Beneficiaries 433
Number Of Male Beneficiaries 253
Number Of Non Hispanic White Beneficiaries 522
Number Of Black or African American Beneficiaries 142
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 445
Number Of Beneficiaries With Medicare Medicaid Entitlement 241
Percent Of With Atrial Fibrillation 19
Percent Of With Alzheimers Disease or Dementia 29
Percent Of With Asthma 12
Percent Of With Cancer 14
Percent Of With Heart Failure 44
Percent Of With Chronic Kidney Disease 57
Percent Of With Chronic Obstructive Pulmonary Disease 39
Percent Of With Depression 44
Percent Of With Diabetes 49
Percent Of With Hyperlipidemia 62
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 59
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 57
Percent Of With Schizophrenia Other PsychoticDisorders 10
Percent Of With Stroke 17
Average HCC Risk Score Of Beneficiaries 2.2446

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