National Provider Identifier [NPI]: |
1184811234 |
Last Name Of The Provider |
SCHEIBLY |
First Name Of The Provider |
KRISTY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
P.A. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3061 FIELDSTONE WAY |
Street Address 2 Of The Provider |
SUITE 700 |
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
405139006 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
946 |
Number Of Medicare Beneficiaries |
360 |
Total Submitted Charge Amount |
94350 |
Total Medicare Allowed Amount |
39880.22 |
Total Medicare Payment Amount |
26481.11 |
Total Medicare Standardized Payment Amount |
34744.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
113 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
3318 |
Total Drug Medicare AllowedAmount |
1288.83 |
Total Drug Medicare PaymentAmount |
1196.45 |
Total Drug Medicare Standardized Payment Amount |
1196.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
833 |
Number Of Medicare Beneficiaries With Medical Services |
360 |
Total Medical Submitted Charge Amount |
91032 |
Total Medical Medicare Allowed Amount |
38591.39 |
Total Medical Medicare Payment Amount |
25284.66 |
Total Medical Medicare Standardized Payment Amount |
33548.13 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
152 |
Number Of Beneficiaries Age 75 to 84 |
107 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
242 |
Number Of Male Beneficiaries |
118 |
Number Of Non Hispanic White Beneficiaries |
323 |
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 |
316 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
44 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9055 |