National Provider Identifier [NPI]: |
1780657346 |
Last Name Of The Provider |
CONNERS |
First Name Of The Provider |
AMY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 1ST ST SW |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROCHESTER |
Zip Code Of The Provider |
559050001 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
1440 |
Number Of Medicare Beneficiaries |
656 |
Total Submitted Charge Amount |
155430.6 |
Total Medicare Allowed Amount |
122418.25 |
Total Medicare Payment Amount |
102352.47 |
Total Medicare Standardized Payment Amount |
111750.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
186 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
488.16 |
Total Drug Medicare AllowedAmount |
412.42 |
Total Drug Medicare PaymentAmount |
250.79 |
Total Drug Medicare Standardized Payment Amount |
250.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
1254 |
Number Of Medicare Beneficiaries With Medical Services |
656 |
Total Medical Submitted Charge Amount |
154942.44 |
Total Medical Medicare Allowed Amount |
122005.83 |
Total Medical Medicare Payment Amount |
102101.68 |
Total Medical Medicare Standardized Payment Amount |
111499.63 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
379 |
Number Of Beneficiaries Age 75 to 84 |
191 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
|
Number Of Male Beneficiaries |
|
Number Of Non Hispanic White Beneficiaries |
626 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
11 |
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 |
616 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
40 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
7 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
40 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7854 |