National Provider Identifier [NPI]: |
1679574057 |
Last Name Of The Provider |
KILPATRICK |
First Name Of The Provider |
KEVIN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5231 BRITTANY DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
BATON ROUGE |
Zip Code Of The Provider |
708089143 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
5588 |
Number Of Medicare Beneficiaries |
1986 |
Total Submitted Charge Amount |
591091 |
Total Medicare Allowed Amount |
200181.84 |
Total Medicare Payment Amount |
147139.54 |
Total Medicare Standardized Payment Amount |
158586.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2278 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
20764 |
Total Drug Medicare AllowedAmount |
6420.43 |
Total Drug Medicare PaymentAmount |
4811.36 |
Total Drug Medicare Standardized Payment Amount |
4811.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
3310 |
Number Of Medicare Beneficiaries With Medical Services |
1986 |
Total Medical Submitted Charge Amount |
570327 |
Total Medical Medicare Allowed Amount |
193761.41 |
Total Medical Medicare Payment Amount |
142328.18 |
Total Medical Medicare Standardized Payment Amount |
153774.72 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
496 |
Number Of Beneficiaries Age 65 to 74 |
652 |
Number Of Beneficiaries Age 75 to 84 |
512 |
Number Of Beneficiaries Age Greater 84 |
326 |
Number Of Female Beneficiaries |
1105 |
Number Of Male Beneficiaries |
881 |
Number Of Non Hispanic White Beneficiaries |
1145 |
Number Of Black or African American Beneficiaries |
776 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
1190 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
796 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.1752 |