National Provider Identifier [NPI]: |
1821074360 |
Last Name Of The Provider |
KNUCKLES |
First Name Of The Provider |
MELISSA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1101 EAST MASTER STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
CORBIN |
Zip Code Of The Provider |
407013511 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
81 |
Number Of Services |
7504 |
Number Of Medicare Beneficiaries |
1996 |
Total Submitted Charge Amount |
1178622 |
Total Medicare Allowed Amount |
638259.97 |
Total Medicare Payment Amount |
470447.53 |
Total Medicare Standardized Payment Amount |
511714.45 |
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 |
81 |
Number Of Medical Services |
7504 |
Number Of Medicare Beneficiaries With Medical Services |
1996 |
Total Medical Submitted Charge Amount |
1178622 |
Total Medical Medicare Allowed Amount |
638259.97 |
Total Medical Medicare Payment Amount |
470447.53 |
Total Medical Medicare Standardized Payment Amount |
511714.45 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
407 |
Number Of Beneficiaries Age 65 to 74 |
877 |
Number Of Beneficiaries Age 75 to 84 |
510 |
Number Of Beneficiaries Age Greater 84 |
202 |
Number Of Female Beneficiaries |
1211 |
Number Of Male Beneficiaries |
785 |
Number Of Non Hispanic White Beneficiaries |
1955 |
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 |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1314 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
682 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1106 |