National Provider Identifier [NPI]: |
1346440583 |
Last Name Of The Provider |
HARPER |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3810 SPRINGHURST BLVD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
LOUISVILLE |
Zip Code Of The Provider |
402416100 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
12439 |
Number Of Medicare Beneficiaries |
1114 |
Total Submitted Charge Amount |
2479632.32 |
Total Medicare Allowed Amount |
1226598.94 |
Total Medicare Payment Amount |
936107.8 |
Total Medicare Standardized Payment Amount |
1003123.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2358 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
420110 |
Total Drug Medicare AllowedAmount |
326914.14 |
Total Drug Medicare PaymentAmount |
256300.16 |
Total Drug Medicare Standardized Payment Amount |
256300.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
10081 |
Number Of Medicare Beneficiaries With Medical Services |
1114 |
Total Medical Submitted Charge Amount |
2059522.32 |
Total Medical Medicare Allowed Amount |
899684.8 |
Total Medical Medicare Payment Amount |
679807.64 |
Total Medical Medicare Standardized Payment Amount |
746823.23 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
432 |
Number Of Beneficiaries Age 75 to 84 |
376 |
Number Of Beneficiaries Age Greater 84 |
249 |
Number Of Female Beneficiaries |
647 |
Number Of Male Beneficiaries |
467 |
Number Of Non Hispanic White Beneficiaries |
1046 |
Number Of Black or African American Beneficiaries |
45 |
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 |
1036 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2293 |