National Provider Identifier [NPI]: |
1952304891 |
Last Name Of The Provider |
WILLIAMS |
First Name Of The Provider |
PATRICIA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
110 S 9TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MAYFIELD |
Zip Code Of The Provider |
420662208 |
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 |
58 |
Number Of Services |
6549 |
Number Of Medicare Beneficiaries |
635 |
Total Submitted Charge Amount |
434506.09 |
Total Medicare Allowed Amount |
382409.68 |
Total Medicare Payment Amount |
289848.46 |
Total Medicare Standardized Payment Amount |
311965.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
666 |
Number Of Medicare Beneficiaries With Drug Services |
116 |
Total Drug Submitted ChargeAmount |
7815 |
Total Drug Medicare AllowedAmount |
3573.53 |
Total Drug Medicare PaymentAmount |
2407.84 |
Total Drug Medicare Standardized Payment Amount |
2407.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
5883 |
Number Of Medicare Beneficiaries With Medical Services |
635 |
Total Medical Submitted Charge Amount |
426691.09 |
Total Medical Medicare Allowed Amount |
378836.15 |
Total Medical Medicare Payment Amount |
287440.62 |
Total Medical Medicare Standardized Payment Amount |
309557.62 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
185 |
Number Of Beneficiaries Age 65 to 74 |
215 |
Number Of Beneficiaries Age 75 to 84 |
144 |
Number Of Beneficiaries Age Greater 84 |
91 |
Number Of Female Beneficiaries |
417 |
Number Of Male Beneficiaries |
218 |
Number Of Non Hispanic White Beneficiaries |
582 |
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 |
355 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
280 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
22 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5684 |