National Provider Identifier [NPI]: |
1366477010 |
Last Name Of The Provider |
ARNETT |
First Name Of The Provider |
CHARLES |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
283 GOBLE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
PRESTONSBURG |
Zip Code Of The Provider |
416537967 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
1073 |
Number Of Medicare Beneficiaries |
545 |
Total Submitted Charge Amount |
25966.51 |
Total Medicare Allowed Amount |
24957.01 |
Total Medicare Payment Amount |
23272.87 |
Total Medicare Standardized Payment Amount |
24854.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
505 |
Number Of Medicare Beneficiaries With Drug Services |
496 |
Total Drug Submitted ChargeAmount |
9943.39 |
Total Drug Medicare AllowedAmount |
9743.33 |
Total Drug Medicare PaymentAmount |
9546.32 |
Total Drug Medicare Standardized Payment Amount |
9546.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
11 |
Number Of Medical Services |
568 |
Number Of Medicare Beneficiaries With Medical Services |
545 |
Total Medical Submitted Charge Amount |
16023.12 |
Total Medical Medicare Allowed Amount |
15213.68 |
Total Medical Medicare Payment Amount |
13726.55 |
Total Medical Medicare Standardized Payment Amount |
15308.34 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
180 |
Number Of Beneficiaries Age 65 to 74 |
195 |
Number Of Beneficiaries Age 75 to 84 |
136 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
272 |
Number Of Male Beneficiaries |
273 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
390 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
155 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9387 |