National Provider Identifier [NPI]: |
1902853617 |
Last Name Of The Provider |
CHUMLEY |
First Name Of The Provider |
WARREN |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1021 MAJESTIC DRIVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
40513 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
14132 |
Number Of Medicare Beneficiaries |
272 |
Total Submitted Charge Amount |
338200.79 |
Total Medicare Allowed Amount |
164088.27 |
Total Medicare Payment Amount |
113412.48 |
Total Medicare Standardized Payment Amount |
119224.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
13394 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
169269.79 |
Total Drug Medicare AllowedAmount |
77442.95 |
Total Drug Medicare PaymentAmount |
51788.6 |
Total Drug Medicare Standardized Payment Amount |
51788.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
738 |
Number Of Medicare Beneficiaries With Medical Services |
272 |
Total Medical Submitted Charge Amount |
168931 |
Total Medical Medicare Allowed Amount |
86645.32 |
Total Medical Medicare Payment Amount |
61623.88 |
Total Medical Medicare Standardized Payment Amount |
67436.16 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
110 |
Number Of Beneficiaries Age 65 to 74 |
93 |
Number Of Beneficiaries Age 75 to 84 |
58 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
183 |
Number Of Male Beneficiaries |
89 |
Number Of Non Hispanic White Beneficiaries |
257 |
Number Of Black or African American Beneficiaries |
|
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 |
192 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
80 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
1.1412 |