Medicare Facts for Kelley S. Cunningham, PT


National Provider Identifier [NPI]: 1780094680
Last Name Of The Provider CUNNINGHAM
First Name Of The Provider KELLEY
Middle Initial Of The Provider R
Credentials Of The Provider PA-C
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1342 PAPERMILL POINTE WAY
Street Address 2 Of The Provider
City Of The Provider KNOXVILLE
Zip Code Of The Provider 379091903
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 58
Number Of Services 27910
Number Of Medicare Beneficiaries 551
Total Submitted Charge Amount 1637245.32
Total Medicare Allowed Amount 799063.82
Total Medicare Payment Amount 759516.69
Total Medicare Standardized Payment Amount 638991.99
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 53
Number Of Beneficiaries Age Less65 466
Number Of Beneficiaries Age 65 to 74 71
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 265
Number Of Male Beneficiaries 286
Number Of Non Hispanic White Beneficiaries 502
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 173
Number Of Beneficiaries With Medicare Medicaid Entitlement 378
Percent Of With Atrial Fibrillation 2
Percent Of With Alzheimers Disease or Dementia 3
Percent Of With Asthma 7
Percent Of With Cancer 3
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease 28
Percent Of With Depression 47
Percent Of With Diabetes 27
Percent Of With Hyperlipidemia 30
Percent Of With Hypertension 54
Percent Of With Ischemic Heart Disease 23
Percent Of With Osteoporosis 3
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders 6
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 1.3636

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