National Provider Identifier [NPI]: |
1740255587 |
Last Name Of The Provider |
ROGERS |
First Name Of The Provider |
KENT |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
301 HOSPITAL DR |
Street Address 2 Of The Provider |
SUITE 195 |
City Of The Provider |
CORSICANA |
Zip Code Of The Provider |
751102471 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
6289 |
Number Of Medicare Beneficiaries |
921 |
Total Submitted Charge Amount |
476967 |
Total Medicare Allowed Amount |
322077.45 |
Total Medicare Payment Amount |
229469.81 |
Total Medicare Standardized Payment Amount |
240684.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1640 |
Number Of Medicare Beneficiaries With Drug Services |
341 |
Total Drug Submitted ChargeAmount |
42940 |
Total Drug Medicare AllowedAmount |
23278.53 |
Total Drug Medicare PaymentAmount |
18920.31 |
Total Drug Medicare Standardized Payment Amount |
18920.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
4649 |
Number Of Medicare Beneficiaries With Medical Services |
919 |
Total Medical Submitted Charge Amount |
434027 |
Total Medical Medicare Allowed Amount |
298798.92 |
Total Medical Medicare Payment Amount |
210549.5 |
Total Medical Medicare Standardized Payment Amount |
221763.71 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
307 |
Number Of Beneficiaries Age 75 to 84 |
321 |
Number Of Beneficiaries Age Greater 84 |
231 |
Number Of Female Beneficiaries |
561 |
Number Of Male Beneficiaries |
360 |
Number Of Non Hispanic White Beneficiaries |
812 |
Number Of Black or African American Beneficiaries |
82 |
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 |
708 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
213 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4025 |