National Provider Identifier [NPI]: |
1013978329 |
Last Name Of The Provider |
HOLZKNECHT |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
444 S MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MADISONVILLE |
Zip Code Of The Provider |
424312871 |
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 |
220 |
Number Of Services |
32374 |
Number Of Medicare Beneficiaries |
1839 |
Total Submitted Charge Amount |
1057263 |
Total Medicare Allowed Amount |
363363.53 |
Total Medicare Payment Amount |
265253.2 |
Total Medicare Standardized Payment Amount |
303814.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
27 |
Number Of Drug Services |
26221 |
Number Of Medicare Beneficiaries With Drug Services |
668 |
Total Drug Submitted ChargeAmount |
53603 |
Total Drug Medicare AllowedAmount |
9658.27 |
Total Drug Medicare PaymentAmount |
7293.55 |
Total Drug Medicare Standardized Payment Amount |
7293.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
193 |
Number Of Medical Services |
6153 |
Number Of Medicare Beneficiaries With Medical Services |
1838 |
Total Medical Submitted Charge Amount |
1003660 |
Total Medical Medicare Allowed Amount |
353705.26 |
Total Medical Medicare Payment Amount |
257959.65 |
Total Medical Medicare Standardized Payment Amount |
296520.6 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
442 |
Number Of Beneficiaries Age 65 to 74 |
822 |
Number Of Beneficiaries Age 75 to 84 |
427 |
Number Of Beneficiaries Age Greater 84 |
148 |
Number Of Female Beneficiaries |
1056 |
Number Of Male Beneficiaries |
783 |
Number Of Non Hispanic White Beneficiaries |
1732 |
Number Of Black or African American Beneficiaries |
84 |
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 |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1488 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
351 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0807 |