National Provider Identifier [NPI]: |
1851361489 |
Last Name Of The Provider |
KNIGHT |
First Name Of The Provider |
EDWARD |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 PATEWOOD DR |
Street Address 2 Of The Provider |
SUITE B300 |
City Of The Provider |
GREENVILLE |
Zip Code Of The Provider |
296153593 |
State Code Of The Provider |
SC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
2084 |
Number Of Medicare Beneficiaries |
586 |
Total Submitted Charge Amount |
384780.1 |
Total Medicare Allowed Amount |
160145.61 |
Total Medicare Payment Amount |
119611.77 |
Total Medicare Standardized Payment Amount |
128433.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
22 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
877 |
Total Drug Medicare AllowedAmount |
680.78 |
Total Drug Medicare PaymentAmount |
649.5 |
Total Drug Medicare Standardized Payment Amount |
649.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
2062 |
Number Of Medicare Beneficiaries With Medical Services |
586 |
Total Medical Submitted Charge Amount |
383903.1 |
Total Medical Medicare Allowed Amount |
159464.83 |
Total Medical Medicare Payment Amount |
118962.27 |
Total Medical Medicare Standardized Payment Amount |
127783.69 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
142 |
Number Of Beneficiaries Age 65 to 74 |
225 |
Number Of Beneficiaries Age 75 to 84 |
182 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
284 |
Number Of Male Beneficiaries |
302 |
Number Of Non Hispanic White Beneficiaries |
504 |
Number Of Black or African American Beneficiaries |
68 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
450 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
136 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
57 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.1936 |