National Provider Identifier [NPI]: |
1578569984 |
Last Name Of The Provider |
REED |
First Name Of The Provider |
SHERRYL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
201 PARK ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BOWLING GREEN |
Zip Code Of The Provider |
421011759 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
226 |
Number Of Services |
21546 |
Number Of Medicare Beneficiaries |
914 |
Total Submitted Charge Amount |
997081 |
Total Medicare Allowed Amount |
560834.46 |
Total Medicare Payment Amount |
437443.5 |
Total Medicare Standardized Payment Amount |
472557.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
21 |
Number Of Drug Services |
8191 |
Number Of Medicare Beneficiaries With Drug Services |
342 |
Total Drug Submitted ChargeAmount |
53049 |
Total Drug Medicare AllowedAmount |
25078.05 |
Total Drug Medicare PaymentAmount |
21591.48 |
Total Drug Medicare Standardized Payment Amount |
21591.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
205 |
Number Of Medical Services |
13355 |
Number Of Medicare Beneficiaries With Medical Services |
914 |
Total Medical Submitted Charge Amount |
944032 |
Total Medical Medicare Allowed Amount |
535756.41 |
Total Medical Medicare Payment Amount |
415852.02 |
Total Medical Medicare Standardized Payment Amount |
450965.88 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
338 |
Number Of Beneficiaries Age 75 to 84 |
293 |
Number Of Beneficiaries Age Greater 84 |
187 |
Number Of Female Beneficiaries |
642 |
Number Of Male Beneficiaries |
272 |
Number Of Non Hispanic White Beneficiaries |
857 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
728 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
186 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4006 |