National Provider Identifier [NPI]: |
1467450577 |
Last Name Of The Provider |
FLURY |
First Name Of The Provider |
KIRK |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2315 DOUGHERTY FERRY RD |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631223383 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
1030 |
Number Of Medicare Beneficiaries |
258 |
Total Submitted Charge Amount |
109308 |
Total Medicare Allowed Amount |
77798.04 |
Total Medicare Payment Amount |
57419.83 |
Total Medicare Standardized Payment Amount |
59816.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
87 |
Number Of Medicare Beneficiaries With Drug Services |
82 |
Total Drug Submitted ChargeAmount |
6204 |
Total Drug Medicare AllowedAmount |
2896.43 |
Total Drug Medicare PaymentAmount |
2807.1 |
Total Drug Medicare Standardized Payment Amount |
2807.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
943 |
Number Of Medicare Beneficiaries With Medical Services |
258 |
Total Medical Submitted Charge Amount |
103104 |
Total Medical Medicare Allowed Amount |
74901.61 |
Total Medical Medicare Payment Amount |
54612.73 |
Total Medical Medicare Standardized Payment Amount |
57009.18 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
116 |
Number Of Beneficiaries Age 75 to 84 |
74 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
125 |
Number Of Male Beneficiaries |
133 |
Number Of Non Hispanic White Beneficiaries |
240 |
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 |
223 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
22 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5777 |