| National Provider Identifier [NPI]: | 1316926264 |
| Last Name Of The Provider | KEYES |
| First Name Of The Provider | KATHLEEN |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1236 E RUSHOLME ST |
| Street Address 2 Of The Provider | SUITE 300 |
| City Of The Provider | DAVENPORT |
| Zip Code Of The Provider | 528032473 |
| State Code Of The Provider | IA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 74 |
| Number Of Services | 8445 |
| Number Of Medicare Beneficiaries | 2909 |
| Total Submitted Charge Amount | 2034375 |
| Total Medicare Allowed Amount | 822884.17 |
| Total Medicare Payment Amount | 623953.13 |
| Total Medicare Standardized Payment Amount | 653647.55 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 1566 |
| Number Of Medicare Beneficiaries With Drug Services | 395 |
| Total Drug Submitted ChargeAmount | 94030.8 |
| Total Drug Medicare AllowedAmount | 82631.11 |
| Total Drug Medicare PaymentAmount | 64110.93 |
| Total Drug Medicare Standardized Payment Amount | 64110.93 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 70 |
| Number Of Medical Services | 6879 |
| Number Of Medicare Beneficiaries With Medical Services | 2909 |
| Total Medical Submitted Charge Amount | 1940344.2 |
| Total Medical Medicare Allowed Amount | 740253.06 |
| Total Medical Medicare Payment Amount | 559842.2 |
| Total Medical Medicare Standardized Payment Amount | 589536.62 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 297 |
| Number Of Beneficiaries Age 65 to 74 | 1097 |
| Number Of Beneficiaries Age 75 to 84 | 1024 |
| Number Of Beneficiaries Age Greater 84 | 491 |
| Number Of Female Beneficiaries | 1468 |
| Number Of Male Beneficiaries | 1441 |
| Number Of Non Hispanic White Beneficiaries | 2709 |
| Number Of Black or African American Beneficiaries | 105 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 52 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 28 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2505 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 404 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 68 |
| Percent Of With Osteoporosis | 5 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 36 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4204 |