Medicare Facts for Kelley M. Kennedy, LCSW


National Provider Identifier [NPI]: 1235148339
Last Name Of The Provider KENNEDY
First Name Of The Provider KELLEY
Middle Initial Of The Provider D
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1300 FRANKLIN AVE
Street Address 2 Of The Provider SUITE 310
City Of The Provider NORMAL
Zip Code Of The Provider 617613592
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Cardiology
Medicare Participation Indicator Y
Number Of HCPCS 34
Number Of Services 3102
Number Of Medicare Beneficiaries 1978
Total Submitted Charge Amount 94175.5
Total Medicare Allowed Amount 77213.61
Total Medicare Payment Amount 59433.78
Total Medicare Standardized Payment Amount 63916.66
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 34
Number Of Medical Services 3102
Number Of Medicare Beneficiaries With Medical Services 1978
Total Medical Submitted Charge Amount 94175.5
Total Medical Medicare Allowed Amount 77213.61
Total Medical Medicare Payment Amount 59433.78
Total Medical Medicare Standardized Payment Amount 63916.66
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 109
Number Of Beneficiaries Age 65 to 74 760
Number Of Beneficiaries Age 75 to 84 768
Number Of Beneficiaries Age Greater 84 341
Number Of Female Beneficiaries 848
Number Of Male Beneficiaries 1130
Number Of Non Hispanic White Beneficiaries 1810
Number Of Black or African American Beneficiaries 37
Number Of AsianPacific Islander Beneficiaries 27
Number Of Hispanic Beneficiaries 63
Number Of American Indian Alaska Native Beneficiaries 13
Number Of Beneficiaries With Race Not Else where Classified 28
Number Of Beneficiaries With Medicare Only Entitlement 1926
Number Of Beneficiaries With Medicare Medicaid Entitlement 52
Percent Of With Atrial Fibrillation 31
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 9
Percent Of With Cancer 19
Percent Of With Heart Failure 30
Percent Of With Chronic Kidney Disease 36
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 21
Percent Of With Diabetes 27
Percent Of With Hyperlipidemia 62
Percent Of With Hypertension 73
Percent Of With Ischemic Heart Disease 52
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 45
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.5406

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