National Provider Identifier [NPI]: |
1982761102 |
Last Name Of The Provider |
NORSWORTHY |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1219 N MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BEAVER DAM |
Zip Code Of The Provider |
423208955 |
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 |
38 |
Number Of Services |
2622 |
Number Of Medicare Beneficiaries |
314 |
Total Submitted Charge Amount |
193465 |
Total Medicare Allowed Amount |
181167.41 |
Total Medicare Payment Amount |
124269.54 |
Total Medicare Standardized Payment Amount |
133560.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
398 |
Number Of Medicare Beneficiaries With Drug Services |
159 |
Total Drug Submitted ChargeAmount |
5800 |
Total Drug Medicare AllowedAmount |
2815.98 |
Total Drug Medicare PaymentAmount |
2636.76 |
Total Drug Medicare Standardized Payment Amount |
2636.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
2224 |
Number Of Medicare Beneficiaries With Medical Services |
314 |
Total Medical Submitted Charge Amount |
187665 |
Total Medical Medicare Allowed Amount |
178351.43 |
Total Medical Medicare Payment Amount |
121632.78 |
Total Medical Medicare Standardized Payment Amount |
130923.78 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
135 |
Number Of Beneficiaries Age 65 to 74 |
101 |
Number Of Beneficiaries Age 75 to 84 |
57 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
|
Number Of Male Beneficiaries |
|
Number Of Non Hispanic White Beneficiaries |
303 |
Number Of Black or African American Beneficiaries |
|
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 |
181 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
133 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
69 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
23 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1907 |