National Provider Identifier [NPI]: |
1851342372 |
Last Name Of The Provider |
LOVE |
First Name Of The Provider |
RILEY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1532 LONE OAK RD |
Street Address 2 Of The Provider |
SUITE 430 |
City Of The Provider |
PADUCAH |
Zip Code Of The Provider |
420037913 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
9432 |
Number Of Medicare Beneficiaries |
1410 |
Total Submitted Charge Amount |
3059500.1 |
Total Medicare Allowed Amount |
606725.48 |
Total Medicare Payment Amount |
458623.81 |
Total Medicare Standardized Payment Amount |
459619.98 |
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 |
75 |
Number Of Medical Services |
9432 |
Number Of Medicare Beneficiaries With Medical Services |
1410 |
Total Medical Submitted Charge Amount |
3059500.1 |
Total Medical Medicare Allowed Amount |
606725.48 |
Total Medical Medicare Payment Amount |
458623.81 |
Total Medical Medicare Standardized Payment Amount |
459619.98 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
603 |
Number Of Beneficiaries Age 65 to 74 |
432 |
Number Of Beneficiaries Age 75 to 84 |
268 |
Number Of Beneficiaries Age Greater 84 |
107 |
Number Of Female Beneficiaries |
883 |
Number Of Male Beneficiaries |
527 |
Number Of Non Hispanic White Beneficiaries |
1305 |
Number Of Black or African American Beneficiaries |
92 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
931 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
479 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5829 |