National Provider Identifier [NPI]: |
1972557338 |
Last Name Of The Provider |
KEMMERLY |
First Name Of The Provider |
ANITA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1700 SPRINGHILL AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
MOBILE |
Zip Code Of The Provider |
366041407 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
8668 |
Number Of Medicare Beneficiaries |
699 |
Total Submitted Charge Amount |
390100 |
Total Medicare Allowed Amount |
231814.03 |
Total Medicare Payment Amount |
180286.28 |
Total Medicare Standardized Payment Amount |
193729.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
1155 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
24745 |
Total Drug Medicare AllowedAmount |
17390.76 |
Total Drug Medicare PaymentAmount |
13849.97 |
Total Drug Medicare Standardized Payment Amount |
13849.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
7513 |
Number Of Medicare Beneficiaries With Medical Services |
699 |
Total Medical Submitted Charge Amount |
365355 |
Total Medical Medicare Allowed Amount |
214423.27 |
Total Medical Medicare Payment Amount |
166436.31 |
Total Medical Medicare Standardized Payment Amount |
179879.26 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
327 |
Number Of Beneficiaries Age 75 to 84 |
189 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
507 |
Number Of Male Beneficiaries |
192 |
Number Of Non Hispanic White Beneficiaries |
497 |
Number Of Black or African American Beneficiaries |
187 |
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 |
627 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
72 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4545 |