National Provider Identifier [NPI]: |
1780754671 |
Last Name Of The Provider |
KENNEY |
First Name Of The Provider |
HOWARD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
105 W 8TH AVE |
Street Address 2 Of The Provider |
STE 6080 |
City Of The Provider |
SPOKANE |
Zip Code Of The Provider |
992042313 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
51897 |
Number Of Medicare Beneficiaries |
778 |
Total Submitted Charge Amount |
4289144.7 |
Total Medicare Allowed Amount |
2981793.18 |
Total Medicare Payment Amount |
2278427.81 |
Total Medicare Standardized Payment Amount |
2276783.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
26 |
Number Of Drug Services |
39449 |
Number Of Medicare Beneficiaries With Drug Services |
299 |
Total Drug Submitted ChargeAmount |
3408385.2 |
Total Drug Medicare AllowedAmount |
2569528.7 |
Total Drug Medicare PaymentAmount |
1959423.84 |
Total Drug Medicare Standardized Payment Amount |
1959423.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
12448 |
Number Of Medicare Beneficiaries With Medical Services |
777 |
Total Medical Submitted Charge Amount |
880759.5 |
Total Medical Medicare Allowed Amount |
412264.48 |
Total Medical Medicare Payment Amount |
319003.97 |
Total Medical Medicare Standardized Payment Amount |
317360.14 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
107 |
Number Of Beneficiaries Age 65 to 74 |
390 |
Number Of Beneficiaries Age 75 to 84 |
217 |
Number Of Beneficiaries Age Greater 84 |
64 |
Number Of Female Beneficiaries |
572 |
Number Of Male Beneficiaries |
206 |
Number Of Non Hispanic White Beneficiaries |
732 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
708 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
70 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
51 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
22 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.231 |