National Provider Identifier [NPI]: |
1679587778 |
Last Name Of The Provider |
MCKNIGHT |
First Name Of The Provider |
THOMAS |
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 |
350 W 23RD ST |
Street Address 2 Of The Provider |
STE A |
City Of The Provider |
FREMONT |
Zip Code Of The Provider |
680252592 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
120 |
Number Of Services |
14870 |
Number Of Medicare Beneficiaries |
974 |
Total Submitted Charge Amount |
1095110.72 |
Total Medicare Allowed Amount |
584107.23 |
Total Medicare Payment Amount |
426371.54 |
Total Medicare Standardized Payment Amount |
454942.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
7869 |
Number Of Medicare Beneficiaries With Drug Services |
484 |
Total Drug Submitted ChargeAmount |
171941 |
Total Drug Medicare AllowedAmount |
110153.33 |
Total Drug Medicare PaymentAmount |
86845.54 |
Total Drug Medicare Standardized Payment Amount |
86845.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
7001 |
Number Of Medicare Beneficiaries With Medical Services |
973 |
Total Medical Submitted Charge Amount |
923169.72 |
Total Medical Medicare Allowed Amount |
473953.9 |
Total Medical Medicare Payment Amount |
339526 |
Total Medical Medicare Standardized Payment Amount |
368097.07 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
233 |
Number Of Beneficiaries Age 65 to 74 |
343 |
Number Of Beneficiaries Age 75 to 84 |
257 |
Number Of Beneficiaries Age Greater 84 |
141 |
Number Of Female Beneficiaries |
546 |
Number Of Male Beneficiaries |
428 |
Number Of Non Hispanic White Beneficiaries |
938 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
709 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
265 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1769 |