National Provider Identifier [NPI]: |
1356311617 |
Last Name Of The Provider |
ADKINS |
First Name Of The Provider |
KEVIN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
614 NORTH TOWN |
Street Address 2 Of The Provider |
|
City Of The Provider |
MOUNTAIN HOME |
Zip Code Of The Provider |
726533105 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
147 |
Number Of Services |
16966 |
Number Of Medicare Beneficiaries |
1090 |
Total Submitted Charge Amount |
884664.3 |
Total Medicare Allowed Amount |
478190.96 |
Total Medicare Payment Amount |
361633.96 |
Total Medicare Standardized Payment Amount |
388267.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
4322 |
Number Of Medicare Beneficiaries With Drug Services |
387 |
Total Drug Submitted ChargeAmount |
95692.6 |
Total Drug Medicare AllowedAmount |
66249.39 |
Total Drug Medicare PaymentAmount |
53397.25 |
Total Drug Medicare Standardized Payment Amount |
53397.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
133 |
Number Of Medical Services |
12644 |
Number Of Medicare Beneficiaries With Medical Services |
1090 |
Total Medical Submitted Charge Amount |
788971.7 |
Total Medical Medicare Allowed Amount |
411941.57 |
Total Medical Medicare Payment Amount |
308236.71 |
Total Medical Medicare Standardized Payment Amount |
334869.92 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
437 |
Number Of Beneficiaries Age 75 to 84 |
390 |
Number Of Beneficiaries Age Greater 84 |
160 |
Number Of Female Beneficiaries |
573 |
Number Of Male Beneficiaries |
517 |
Number Of Non Hispanic White Beneficiaries |
1071 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
976 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
114 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0264 |