National Provider Identifier [NPI]: |
1306996061 |
Last Name Of The Provider |
RONAN |
First Name Of The Provider |
AMY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
NP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10600 QUIVIRA RD |
Street Address 2 Of The Provider |
SUITE 430 |
City Of The Provider |
OVERLAND PARK |
Zip Code Of The Provider |
662152309 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
2064 |
Number Of Medicare Beneficiaries |
284 |
Total Submitted Charge Amount |
204921.5 |
Total Medicare Allowed Amount |
112680.86 |
Total Medicare Payment Amount |
83274.56 |
Total Medicare Standardized Payment Amount |
98990.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
50 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
12540 |
Total Drug Medicare AllowedAmount |
9989.52 |
Total Drug Medicare PaymentAmount |
7402.06 |
Total Drug Medicare Standardized Payment Amount |
7402.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
2014 |
Number Of Medicare Beneficiaries With Medical Services |
284 |
Total Medical Submitted Charge Amount |
192381.5 |
Total Medical Medicare Allowed Amount |
102691.34 |
Total Medical Medicare Payment Amount |
75872.5 |
Total Medical Medicare Standardized Payment Amount |
91588.13 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
159 |
Number Of Beneficiaries Age 75 to 84 |
78 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
158 |
Number Of Male Beneficiaries |
126 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9104 |