Medicare Facts for Michael M. Cummings, LSW


National Provider Identifier [NPI]: 1871596643
Last Name Of The Provider CUMMINGS
First Name Of The Provider MICHAEL
Middle Initial Of The Provider L
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 127 FOOTHILLS AVE
Street Address 2 Of The Provider SUITE 1
City Of The Provider ALBANY
Zip Code Of The Provider 426021076
State Code Of The Provider KY
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 91
Number Of Services 7222
Number Of Medicare Beneficiaries 638
Total Submitted Charge Amount 523201
Total Medicare Allowed Amount 366493.11
Total Medicare Payment Amount 260942.71
Total Medicare Standardized Payment Amount 268070.15
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 13
Number Of Drug Services 1138
Number Of Medicare Beneficiaries With Drug Services 320
Total Drug Submitted ChargeAmount 28516
Total Drug Medicare AllowedAmount 6052.78
Total Drug Medicare PaymentAmount 5066.15
Total Drug Medicare Standardized Payment Amount 5066.15
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 78
Number Of Medical Services 6084
Number Of Medicare Beneficiaries With Medical Services 638
Total Medical Submitted Charge Amount 494685
Total Medical Medicare Allowed Amount 360440.33
Total Medical Medicare Payment Amount 255876.56
Total Medical Medicare Standardized Payment Amount 263004
Average Age Of Beneficiaries 66
Number Of Beneficiaries Age Less65 254
Number Of Beneficiaries Age 65 to 74 211
Number Of Beneficiaries Age 75 to 84 127
Number Of Beneficiaries Age Greater 84 46
Number Of Female Beneficiaries 347
Number Of Male Beneficiaries 291
Number Of Non Hispanic White Beneficiaries
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 272
Number Of Beneficiaries With Medicare Medicaid Entitlement 366
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 5
Percent Of With Cancer 6
Percent Of With Heart Failure 19
Percent Of With Chronic Kidney Disease 10
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 17
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 28
Percent Of With Hypertension 60
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 50
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.0982

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