National Provider Identifier [NPI]: |
1194787077 |
Last Name Of The Provider |
CAIN |
First Name Of The Provider |
DARREN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5129 DIXIE HWY |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
LOUISVILLE |
Zip Code Of The Provider |
402161727 |
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 |
165 |
Number Of Services |
6152 |
Number Of Medicare Beneficiaries |
3804 |
Total Submitted Charge Amount |
908886 |
Total Medicare Allowed Amount |
213268.61 |
Total Medicare Payment Amount |
159170.53 |
Total Medicare Standardized Payment Amount |
168961.36 |
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 |
165 |
Number Of Medical Services |
6152 |
Number Of Medicare Beneficiaries With Medical Services |
3804 |
Total Medical Submitted Charge Amount |
908886 |
Total Medical Medicare Allowed Amount |
213268.61 |
Total Medical Medicare Payment Amount |
159170.53 |
Total Medical Medicare Standardized Payment Amount |
168961.36 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
930 |
Number Of Beneficiaries Age 65 to 74 |
1332 |
Number Of Beneficiaries Age 75 to 84 |
1013 |
Number Of Beneficiaries Age Greater 84 |
529 |
Number Of Female Beneficiaries |
2351 |
Number Of Male Beneficiaries |
1453 |
Number Of Non Hispanic White Beneficiaries |
3263 |
Number Of Black or African American Beneficiaries |
447 |
Number Of AsianPacific Islander Beneficiaries |
32 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
34 |
Number Of Beneficiaries With Medicare Only Entitlement |
2768 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1036 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.9231 |