National Provider Identifier [NPI]: |
1659377075 |
Last Name Of The Provider |
CHERRY |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
850 HAIL KNOB RD |
Street Address 2 Of The Provider |
STE A |
City Of The Provider |
SOMERSET |
Zip Code Of The Provider |
425033418 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
139 |
Number Of Services |
11554 |
Number Of Medicare Beneficiaries |
1121 |
Total Submitted Charge Amount |
734655 |
Total Medicare Allowed Amount |
385932.95 |
Total Medicare Payment Amount |
276917.63 |
Total Medicare Standardized Payment Amount |
301514.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1109 |
Number Of Medicare Beneficiaries With Drug Services |
265 |
Total Drug Submitted ChargeAmount |
29855 |
Total Drug Medicare AllowedAmount |
6206.96 |
Total Drug Medicare PaymentAmount |
5330.43 |
Total Drug Medicare Standardized Payment Amount |
5330.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
129 |
Number Of Medical Services |
10445 |
Number Of Medicare Beneficiaries With Medical Services |
1121 |
Total Medical Submitted Charge Amount |
704800 |
Total Medical Medicare Allowed Amount |
379725.99 |
Total Medical Medicare Payment Amount |
271587.2 |
Total Medical Medicare Standardized Payment Amount |
296184.43 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
196 |
Number Of Beneficiaries Age 65 to 74 |
543 |
Number Of Beneficiaries Age 75 to 84 |
298 |
Number Of Beneficiaries Age Greater 84 |
84 |
Number Of Female Beneficiaries |
610 |
Number Of Male Beneficiaries |
511 |
Number Of Non Hispanic White Beneficiaries |
1106 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
866 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
255 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9606 |