National Provider Identifier [NPI]: |
1518143577 |
Last Name Of The Provider |
HOUK |
First Name Of The Provider |
BRANDON |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2407 RING RD |
Street Address 2 Of The Provider |
SUITE 108 |
City Of The Provider |
ELIZABETHTOWN |
Zip Code Of The Provider |
427015937 |
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 |
46 |
Number Of Services |
3502 |
Number Of Medicare Beneficiaries |
701 |
Total Submitted Charge Amount |
423204.6 |
Total Medicare Allowed Amount |
336636.38 |
Total Medicare Payment Amount |
250510.27 |
Total Medicare Standardized Payment Amount |
274259.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
134 |
Number Of Medicare Beneficiaries With Drug Services |
65 |
Total Drug Submitted ChargeAmount |
1014.1 |
Total Drug Medicare AllowedAmount |
367.59 |
Total Drug Medicare PaymentAmount |
291.28 |
Total Drug Medicare Standardized Payment Amount |
291.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
3368 |
Number Of Medicare Beneficiaries With Medical Services |
701 |
Total Medical Submitted Charge Amount |
422190.5 |
Total Medical Medicare Allowed Amount |
336268.79 |
Total Medical Medicare Payment Amount |
250218.99 |
Total Medical Medicare Standardized Payment Amount |
273968.15 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
131 |
Number Of Beneficiaries Age 65 to 74 |
274 |
Number Of Beneficiaries Age 75 to 84 |
214 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
418 |
Number Of Male Beneficiaries |
283 |
Number Of Non Hispanic White Beneficiaries |
669 |
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 |
537 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
164 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3474 |