National Provider Identifier [NPI]: |
1417939414 |
Last Name Of The Provider |
YOUNG |
First Name Of The Provider |
KEITH |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
401 LOWELL DR SE |
Street Address 2 Of The Provider |
SUITE 19 |
City Of The Provider |
HUNTSVILLE |
Zip Code Of The Provider |
358013748 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
8551 |
Number Of Medicare Beneficiaries |
1265 |
Total Submitted Charge Amount |
919802 |
Total Medicare Allowed Amount |
662207.67 |
Total Medicare Payment Amount |
508895.76 |
Total Medicare Standardized Payment Amount |
549509.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
84 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
1848 |
Total Drug Medicare AllowedAmount |
1650.4 |
Total Drug Medicare PaymentAmount |
1617.24 |
Total Drug Medicare Standardized Payment Amount |
1617.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
8467 |
Number Of Medicare Beneficiaries With Medical Services |
1265 |
Total Medical Submitted Charge Amount |
917954 |
Total Medical Medicare Allowed Amount |
660557.27 |
Total Medical Medicare Payment Amount |
507278.52 |
Total Medical Medicare Standardized Payment Amount |
547892.63 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
180 |
Number Of Beneficiaries Age 65 to 74 |
524 |
Number Of Beneficiaries Age 75 to 84 |
415 |
Number Of Beneficiaries Age Greater 84 |
146 |
Number Of Female Beneficiaries |
723 |
Number Of Male Beneficiaries |
542 |
Number Of Non Hispanic White Beneficiaries |
1111 |
Number Of Black or African American Beneficiaries |
125 |
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 |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1063 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
202 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
63 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7435 |