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 |