National Provider Identifier [NPI]: |
1871539833 |
Last Name Of The Provider |
GLEDHILL |
First Name Of The Provider |
KENT |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1055 N 500 W |
Street Address 2 Of The Provider |
SUITE 112 |
City Of The Provider |
PROVO |
Zip Code Of The Provider |
846043305 |
State Code Of The Provider |
UT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
208 |
Number Of Services |
14643 |
Number Of Medicare Beneficiaries |
1749 |
Total Submitted Charge Amount |
1097193 |
Total Medicare Allowed Amount |
301259.59 |
Total Medicare Payment Amount |
228619.29 |
Total Medicare Standardized Payment Amount |
250896.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
11805 |
Number Of Medicare Beneficiaries With Drug Services |
286 |
Total Drug Submitted ChargeAmount |
32964 |
Total Drug Medicare AllowedAmount |
6499.94 |
Total Drug Medicare PaymentAmount |
4975.61 |
Total Drug Medicare Standardized Payment Amount |
4975.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
198 |
Number Of Medical Services |
2838 |
Number Of Medicare Beneficiaries With Medical Services |
1748 |
Total Medical Submitted Charge Amount |
1064229 |
Total Medical Medicare Allowed Amount |
294759.65 |
Total Medical Medicare Payment Amount |
223643.68 |
Total Medical Medicare Standardized Payment Amount |
245921.22 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
216 |
Number Of Beneficiaries Age 65 to 74 |
734 |
Number Of Beneficiaries Age 75 to 84 |
599 |
Number Of Beneficiaries Age Greater 84 |
200 |
Number Of Female Beneficiaries |
1092 |
Number Of Male Beneficiaries |
657 |
Number Of Non Hispanic White Beneficiaries |
1660 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
52 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1556 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
193 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2191 |