National Provider Identifier [NPI]: |
1215128178 |
Last Name Of The Provider |
MORRIS |
First Name Of The Provider |
KENT |
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 |
6420 DUTCHMANS PKWY |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
LOUISVILLE |
Zip Code Of The Provider |
402053372 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
6806 |
Number Of Medicare Beneficiaries |
1673 |
Total Submitted Charge Amount |
881722 |
Total Medicare Allowed Amount |
395254.75 |
Total Medicare Payment Amount |
291000.8 |
Total Medicare Standardized Payment Amount |
315435.16 |
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 |
80 |
Number Of Medical Services |
6806 |
Number Of Medicare Beneficiaries With Medical Services |
1673 |
Total Medical Submitted Charge Amount |
881722 |
Total Medical Medicare Allowed Amount |
395254.75 |
Total Medical Medicare Payment Amount |
291000.8 |
Total Medical Medicare Standardized Payment Amount |
315435.16 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
154 |
Number Of Beneficiaries Age 65 to 74 |
500 |
Number Of Beneficiaries Age 75 to 84 |
581 |
Number Of Beneficiaries Age Greater 84 |
438 |
Number Of Female Beneficiaries |
833 |
Number Of Male Beneficiaries |
840 |
Number Of Non Hispanic White Beneficiaries |
1527 |
Number Of Black or African American Beneficiaries |
117 |
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 |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1496 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
177 |
Percent Of With Atrial Fibrillation |
53 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.9 |