National Provider Identifier [NPI]: |
1356403489 |
Last Name Of The Provider |
MIERS |
First Name Of The Provider |
WENDELL |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1760 NICHOLASVILLE RD |
Street Address 2 Of The Provider |
SUITE 502 |
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
405031473 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
5620 |
Number Of Medicare Beneficiaries |
666 |
Total Submitted Charge Amount |
373352.05 |
Total Medicare Allowed Amount |
156047.19 |
Total Medicare Payment Amount |
113469.68 |
Total Medicare Standardized Payment Amount |
123260.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
34 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
990.9 |
Total Drug Medicare AllowedAmount |
508.66 |
Total Drug Medicare PaymentAmount |
483.16 |
Total Drug Medicare Standardized Payment Amount |
483.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
5586 |
Number Of Medicare Beneficiaries With Medical Services |
666 |
Total Medical Submitted Charge Amount |
372361.15 |
Total Medical Medicare Allowed Amount |
155538.53 |
Total Medical Medicare Payment Amount |
112986.52 |
Total Medical Medicare Standardized Payment Amount |
122777.75 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
167 |
Number Of Beneficiaries Age 65 to 74 |
326 |
Number Of Beneficiaries Age 75 to 84 |
149 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
413 |
Number Of Male Beneficiaries |
253 |
Number Of Non Hispanic White Beneficiaries |
605 |
Number Of Black or African American Beneficiaries |
39 |
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 |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
554 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
112 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
74 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.222 |