National Provider Identifier [NPI]: |
1982644035 |
Last Name Of The Provider |
KENT |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
205 PAGE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PINEHURST |
Zip Code Of The Provider |
283748798 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
132 |
Number Of Services |
10087 |
Number Of Medicare Beneficiaries |
1965 |
Total Submitted Charge Amount |
1614042 |
Total Medicare Allowed Amount |
500370.03 |
Total Medicare Payment Amount |
384712.43 |
Total Medicare Standardized Payment Amount |
405598.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1616 |
Number Of Medicare Beneficiaries With Drug Services |
115 |
Total Drug Submitted ChargeAmount |
51279 |
Total Drug Medicare AllowedAmount |
20526.81 |
Total Drug Medicare PaymentAmount |
15188.59 |
Total Drug Medicare Standardized Payment Amount |
15188.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
125 |
Number Of Medical Services |
8471 |
Number Of Medicare Beneficiaries With Medical Services |
1965 |
Total Medical Submitted Charge Amount |
1562763 |
Total Medical Medicare Allowed Amount |
479843.22 |
Total Medical Medicare Payment Amount |
369523.84 |
Total Medical Medicare Standardized Payment Amount |
390410.2 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
273 |
Number Of Beneficiaries Age 65 to 74 |
719 |
Number Of Beneficiaries Age 75 to 84 |
628 |
Number Of Beneficiaries Age Greater 84 |
345 |
Number Of Female Beneficiaries |
1014 |
Number Of Male Beneficiaries |
951 |
Number Of Non Hispanic White Beneficiaries |
1592 |
Number Of Black or African American Beneficiaries |
298 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
27 |
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
1550 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
415 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6696 |