National Provider Identifier [NPI]: |
1366488496 |
Last Name Of The Provider |
BUTLER |
First Name Of The Provider |
CARINA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1218 S BROADWAY |
Street Address 2 Of The Provider |
STE 310 |
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
405042756 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
201 |
Number Of Services |
13471 |
Number Of Medicare Beneficiaries |
8257 |
Total Submitted Charge Amount |
1190230 |
Total Medicare Allowed Amount |
365429.95 |
Total Medicare Payment Amount |
271749.23 |
Total Medicare Standardized Payment Amount |
287209.22 |
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 |
201 |
Number Of Medical Services |
13471 |
Number Of Medicare Beneficiaries With Medical Services |
8257 |
Total Medical Submitted Charge Amount |
1190230 |
Total Medical Medicare Allowed Amount |
365429.95 |
Total Medical Medicare Payment Amount |
271749.23 |
Total Medical Medicare Standardized Payment Amount |
287209.22 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
2292 |
Number Of Beneficiaries Age 65 to 74 |
2720 |
Number Of Beneficiaries Age 75 to 84 |
2052 |
Number Of Beneficiaries Age Greater 84 |
1193 |
Number Of Female Beneficiaries |
4851 |
Number Of Male Beneficiaries |
3406 |
Number Of Non Hispanic White Beneficiaries |
7678 |
Number Of Black or African American Beneficiaries |
467 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
45 |
Number Of Beneficiaries With Medicare Only Entitlement |
5022 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
3235 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.785 |