National Provider Identifier [NPI]: |
1720318538 |
Last Name Of The Provider |
BUHNERKEMPE |
First Name Of The Provider |
BILLIE |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MS, PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1025 S 6TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
627032403 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
9 |
Number Of Services |
11044 |
Number Of Medicare Beneficiaries |
4153 |
Total Submitted Charge Amount |
1886050 |
Total Medicare Allowed Amount |
637083.75 |
Total Medicare Payment Amount |
496662.59 |
Total Medicare Standardized Payment Amount |
561435.28 |
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 |
9 |
Number Of Medical Services |
11044 |
Number Of Medicare Beneficiaries With Medical Services |
4153 |
Total Medical Submitted Charge Amount |
1886050 |
Total Medical Medicare Allowed Amount |
637083.75 |
Total Medical Medicare Payment Amount |
496662.59 |
Total Medical Medicare Standardized Payment Amount |
561435.28 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
647 |
Number Of Beneficiaries Age 65 to 74 |
890 |
Number Of Beneficiaries Age 75 to 84 |
1191 |
Number Of Beneficiaries Age Greater 84 |
1425 |
Number Of Female Beneficiaries |
2536 |
Number Of Male Beneficiaries |
1617 |
Number Of Non Hispanic White Beneficiaries |
2074 |
Number Of Black or African American Beneficiaries |
635 |
Number Of AsianPacific Islander Beneficiaries |
427 |
Number Of Hispanic Beneficiaries |
953 |
Number Of American Indian Alaska Native Beneficiaries |
13 |
Number Of Beneficiaries With Race Not Else where Classified |
51 |
Number Of Beneficiaries With Medicare Only Entitlement |
265 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
3888 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
73 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
56 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
42 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
3.0769 |