National Provider Identifier [NPI]: |
1447202205 |
Last Name Of The Provider |
CHANEY |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
181 ROY CAMPBELL DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HAZARD |
Zip Code Of The Provider |
41701 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
230 |
Number Of Services |
17331 |
Number Of Medicare Beneficiaries |
583 |
Total Submitted Charge Amount |
2733163.5 |
Total Medicare Allowed Amount |
741721.52 |
Total Medicare Payment Amount |
608927.62 |
Total Medicare Standardized Payment Amount |
642513.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
905 |
Number Of Medicare Beneficiaries With Drug Services |
188 |
Total Drug Submitted ChargeAmount |
22325 |
Total Drug Medicare AllowedAmount |
5419.35 |
Total Drug Medicare PaymentAmount |
4195.27 |
Total Drug Medicare Standardized Payment Amount |
4195.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
213 |
Number Of Medical Services |
16426 |
Number Of Medicare Beneficiaries With Medical Services |
583 |
Total Medical Submitted Charge Amount |
2710838.5 |
Total Medical Medicare Allowed Amount |
736302.17 |
Total Medical Medicare Payment Amount |
604732.35 |
Total Medical Medicare Standardized Payment Amount |
638318.22 |
Average Age Of Beneficiaries |
61 |
Number Of Beneficiaries Age Less65 |
328 |
Number Of Beneficiaries Age 65 to 74 |
181 |
Number Of Beneficiaries Age 75 to 84 |
59 |
Number Of Beneficiaries Age Greater 84 |
15 |
Number Of Female Beneficiaries |
256 |
Number Of Male Beneficiaries |
327 |
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 |
296 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
287 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
52 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.5165 |