National Provider Identifier [NPI]: |
1740481993 |
Last Name Of The Provider |
LINDLEY |
First Name Of The Provider |
KELLY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
340 EISENHOWER DRIVE |
Street Address 2 Of The Provider |
SUITE 1200 |
City Of The Provider |
SAVANNAH |
Zip Code Of The Provider |
31406 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
441 |
Number Of Medicare Beneficiaries |
115 |
Total Submitted Charge Amount |
39010 |
Total Medicare Allowed Amount |
11825.64 |
Total Medicare Payment Amount |
9477.5 |
Total Medicare Standardized Payment Amount |
11396.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
178 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
891 |
Total Drug Medicare AllowedAmount |
328.91 |
Total Drug Medicare PaymentAmount |
285.42 |
Total Drug Medicare Standardized Payment Amount |
285.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
263 |
Number Of Medicare Beneficiaries With Medical Services |
115 |
Total Medical Submitted Charge Amount |
38119 |
Total Medical Medicare Allowed Amount |
11496.73 |
Total Medical Medicare Payment Amount |
9192.08 |
Total Medical Medicare Standardized Payment Amount |
11111.56 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
44 |
Number Of Beneficiaries Age 75 to 84 |
37 |
Number Of Beneficiaries Age Greater 84 |
17 |
Number Of Female Beneficiaries |
76 |
Number Of Male Beneficiaries |
39 |
Number Of Non Hispanic White Beneficiaries |
89 |
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 |
101 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
14 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5035 |