National Provider Identifier [NPI]: |
1689781122 |
Last Name Of The Provider |
KNIGHT |
First Name Of The Provider |
MARGARET |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2483 CORPORATE CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
EAST TROY |
Zip Code Of The Provider |
531202575 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
2758 |
Number Of Medicare Beneficiaries |
563 |
Total Submitted Charge Amount |
489700.96 |
Total Medicare Allowed Amount |
134080.68 |
Total Medicare Payment Amount |
94730.34 |
Total Medicare Standardized Payment Amount |
98414.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
171 |
Number Of Medicare Beneficiaries With Drug Services |
148 |
Total Drug Submitted ChargeAmount |
6666.96 |
Total Drug Medicare AllowedAmount |
3766.21 |
Total Drug Medicare PaymentAmount |
3518.31 |
Total Drug Medicare Standardized Payment Amount |
3518.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
2587 |
Number Of Medicare Beneficiaries With Medical Services |
563 |
Total Medical Submitted Charge Amount |
483034 |
Total Medical Medicare Allowed Amount |
130314.47 |
Total Medical Medicare Payment Amount |
91212.03 |
Total Medical Medicare Standardized Payment Amount |
94895.98 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
104 |
Number Of Beneficiaries Age 65 to 74 |
264 |
Number Of Beneficiaries Age 75 to 84 |
126 |
Number Of Beneficiaries Age Greater 84 |
69 |
Number Of Female Beneficiaries |
346 |
Number Of Male Beneficiaries |
217 |
Number Of Non Hispanic White Beneficiaries |
543 |
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 |
475 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
88 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0779 |