National Provider Identifier [NPI]: |
1073595583 |
Last Name Of The Provider |
CLOKEY |
First Name Of The Provider |
PATRICIA |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MEDICAL DOCTOR |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 E 10TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ANNISTON |
Zip Code Of The Provider |
362074716 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
832 |
Number Of Medicare Beneficiaries |
784 |
Total Submitted Charge Amount |
586733 |
Total Medicare Allowed Amount |
79996.54 |
Total Medicare Payment Amount |
61239.75 |
Total Medicare Standardized Payment Amount |
65082.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
832 |
Number Of Medicare Beneficiaries With Medical Services |
784 |
Total Medical Submitted Charge Amount |
586733 |
Total Medical Medicare Allowed Amount |
79996.54 |
Total Medical Medicare Payment Amount |
61239.75 |
Total Medical Medicare Standardized Payment Amount |
65082.5 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
199 |
Number Of Beneficiaries Age 65 to 74 |
319 |
Number Of Beneficiaries Age 75 to 84 |
189 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
464 |
Number Of Male Beneficiaries |
320 |
Number Of Non Hispanic White Beneficiaries |
702 |
Number Of Black or African American Beneficiaries |
69 |
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 |
571 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
213 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3425 |