National Provider Identifier [NPI]: |
1588617427 |
Last Name Of The Provider |
ANDERSEN |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2200 E PARRISH AVE |
Street Address 2 Of The Provider |
BUILDING E, SUITE 201 |
City Of The Provider |
OWENSBORO |
Zip Code Of The Provider |
423031449 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
4413 |
Number Of Medicare Beneficiaries |
1162 |
Total Submitted Charge Amount |
887614.83 |
Total Medicare Allowed Amount |
346417.27 |
Total Medicare Payment Amount |
253654.94 |
Total Medicare Standardized Payment Amount |
267320.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
709 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
225572.25 |
Total Drug Medicare AllowedAmount |
110325.24 |
Total Drug Medicare PaymentAmount |
83513.41 |
Total Drug Medicare Standardized Payment Amount |
83513.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
3704 |
Number Of Medicare Beneficiaries With Medical Services |
1162 |
Total Medical Submitted Charge Amount |
662042.58 |
Total Medical Medicare Allowed Amount |
236092.03 |
Total Medical Medicare Payment Amount |
170141.53 |
Total Medical Medicare Standardized Payment Amount |
183807.34 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
101 |
Number Of Beneficiaries Age 65 to 74 |
488 |
Number Of Beneficiaries Age 75 to 84 |
435 |
Number Of Beneficiaries Age Greater 84 |
138 |
Number Of Female Beneficiaries |
301 |
Number Of Male Beneficiaries |
861 |
Number Of Non Hispanic White Beneficiaries |
1115 |
Number Of Black or African American Beneficiaries |
29 |
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 |
1062 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.159 |