National Provider Identifier [NPI]: |
1962401026 |
Last Name Of The Provider |
BORDERS |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2101 NICHOLASVILLE RD |
Street Address 2 Of The Provider |
STE 106 |
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
405032518 |
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 |
81 |
Number Of Services |
4738 |
Number Of Medicare Beneficiaries |
695 |
Total Submitted Charge Amount |
431950.15 |
Total Medicare Allowed Amount |
301975.19 |
Total Medicare Payment Amount |
224601.24 |
Total Medicare Standardized Payment Amount |
240366.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
589 |
Number Of Medicare Beneficiaries With Drug Services |
339 |
Total Drug Submitted ChargeAmount |
25921.4 |
Total Drug Medicare AllowedAmount |
22623.19 |
Total Drug Medicare PaymentAmount |
21900.5 |
Total Drug Medicare Standardized Payment Amount |
21900.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
4149 |
Number Of Medicare Beneficiaries With Medical Services |
695 |
Total Medical Submitted Charge Amount |
406028.75 |
Total Medical Medicare Allowed Amount |
279352 |
Total Medical Medicare Payment Amount |
202700.74 |
Total Medical Medicare Standardized Payment Amount |
218465.72 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
267 |
Number Of Beneficiaries Age 75 to 84 |
257 |
Number Of Beneficiaries Age Greater 84 |
141 |
Number Of Female Beneficiaries |
406 |
Number Of Male Beneficiaries |
289 |
Number Of Non Hispanic White Beneficiaries |
674 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
678 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0159 |