National Provider Identifier [NPI]: |
1407877855 |
Last Name Of The Provider |
KIRK |
First Name Of The Provider |
QUINN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
246 S MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HUGHESVILLE |
Zip Code Of The Provider |
177371614 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
1413 |
Number Of Medicare Beneficiaries |
396 |
Total Submitted Charge Amount |
145034 |
Total Medicare Allowed Amount |
104513.14 |
Total Medicare Payment Amount |
76620.41 |
Total Medicare Standardized Payment Amount |
81800.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
114 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
4073 |
Total Drug Medicare AllowedAmount |
2819.61 |
Total Drug Medicare PaymentAmount |
2724.18 |
Total Drug Medicare Standardized Payment Amount |
2724.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
1299 |
Number Of Medicare Beneficiaries With Medical Services |
396 |
Total Medical Submitted Charge Amount |
140961 |
Total Medical Medicare Allowed Amount |
101693.53 |
Total Medical Medicare Payment Amount |
73896.23 |
Total Medical Medicare Standardized Payment Amount |
79076.27 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
100 |
Number Of Beneficiaries Age 65 to 74 |
155 |
Number Of Beneficiaries Age 75 to 84 |
94 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
219 |
Number Of Male Beneficiaries |
177 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
282 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
114 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1453 |