National Provider Identifier [NPI]: |
1396793089 |
Last Name Of The Provider |
KINARD |
First Name Of The Provider |
RICHARD |
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 |
4500 W NEWBERRY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
326072245 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
9216 |
Number Of Medicare Beneficiaries |
1105 |
Total Submitted Charge Amount |
3005208.77 |
Total Medicare Allowed Amount |
1130535.94 |
Total Medicare Payment Amount |
876850.29 |
Total Medicare Standardized Payment Amount |
883973.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
5465 |
Number Of Medicare Beneficiaries With Drug Services |
1055 |
Total Drug Submitted ChargeAmount |
74119.27 |
Total Drug Medicare AllowedAmount |
12503.41 |
Total Drug Medicare PaymentAmount |
9707.76 |
Total Drug Medicare Standardized Payment Amount |
9707.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
3751 |
Number Of Medicare Beneficiaries With Medical Services |
1104 |
Total Medical Submitted Charge Amount |
2931089.5 |
Total Medical Medicare Allowed Amount |
1118032.53 |
Total Medical Medicare Payment Amount |
867142.53 |
Total Medical Medicare Standardized Payment Amount |
874266.02 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
484 |
Number Of Beneficiaries Age 75 to 84 |
419 |
Number Of Beneficiaries Age Greater 84 |
134 |
Number Of Female Beneficiaries |
671 |
Number Of Male Beneficiaries |
434 |
Number Of Non Hispanic White Beneficiaries |
1020 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1036 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
69 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1184 |