National Provider Identifier [NPI]: |
1730186974 |
Last Name Of The Provider |
STILES |
First Name Of The Provider |
MATTHEW |
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 |
201 S 5TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BARDSTOWN |
Zip Code Of The Provider |
400041142 |
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 |
89 |
Number Of Services |
3594 |
Number Of Medicare Beneficiaries |
760 |
Total Submitted Charge Amount |
316410.13 |
Total Medicare Allowed Amount |
204475.51 |
Total Medicare Payment Amount |
149243.44 |
Total Medicare Standardized Payment Amount |
160655.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
458 |
Number Of Medicare Beneficiaries With Drug Services |
198 |
Total Drug Submitted ChargeAmount |
13464.13 |
Total Drug Medicare AllowedAmount |
9713.85 |
Total Drug Medicare PaymentAmount |
8947.27 |
Total Drug Medicare Standardized Payment Amount |
8947.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
3136 |
Number Of Medicare Beneficiaries With Medical Services |
760 |
Total Medical Submitted Charge Amount |
302946 |
Total Medical Medicare Allowed Amount |
194761.66 |
Total Medical Medicare Payment Amount |
140296.17 |
Total Medical Medicare Standardized Payment Amount |
151708.02 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
128 |
Number Of Beneficiaries Age 65 to 74 |
250 |
Number Of Beneficiaries Age 75 to 84 |
228 |
Number Of Beneficiaries Age Greater 84 |
154 |
Number Of Female Beneficiaries |
436 |
Number Of Male Beneficiaries |
324 |
Number Of Non Hispanic White Beneficiaries |
708 |
Number Of Black or African American Beneficiaries |
40 |
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 |
536 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
224 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3389 |