National Provider Identifier [NPI]: |
1821067794 |
Last Name Of The Provider |
KIRKENDALL |
First Name Of The Provider |
MATTHEW |
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 |
1515 DELHI ST |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
DUBUQUE |
Zip Code Of The Provider |
520016320 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
203 |
Number Of Services |
12048 |
Number Of Medicare Beneficiaries |
534 |
Total Submitted Charge Amount |
841945 |
Total Medicare Allowed Amount |
293646.76 |
Total Medicare Payment Amount |
225269.55 |
Total Medicare Standardized Payment Amount |
228710.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
20 |
Number Of Drug Services |
2478 |
Number Of Medicare Beneficiaries With Drug Services |
228 |
Total Drug Submitted ChargeAmount |
31870 |
Total Drug Medicare AllowedAmount |
11887.99 |
Total Drug Medicare PaymentAmount |
10109.25 |
Total Drug Medicare Standardized Payment Amount |
10109.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
183 |
Number Of Medical Services |
9570 |
Number Of Medicare Beneficiaries With Medical Services |
534 |
Total Medical Submitted Charge Amount |
810075 |
Total Medical Medicare Allowed Amount |
281758.77 |
Total Medical Medicare Payment Amount |
215160.3 |
Total Medical Medicare Standardized Payment Amount |
218601.07 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
191 |
Number Of Beneficiaries Age 75 to 84 |
176 |
Number Of Beneficiaries Age Greater 84 |
130 |
Number Of Female Beneficiaries |
276 |
Number Of Male Beneficiaries |
258 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
459 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
75 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1401 |