National Provider Identifier [NPI]: |
1396762746 |
Last Name Of The Provider |
HARMON |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9100 W 74TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SHAWNEE MISSION |
Zip Code Of The Provider |
662044004 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
159 |
Number Of Services |
4788 |
Number Of Medicare Beneficiaries |
2258 |
Total Submitted Charge Amount |
504562.49 |
Total Medicare Allowed Amount |
137598.3 |
Total Medicare Payment Amount |
109651.91 |
Total Medicare Standardized Payment Amount |
116663.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1222 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
3922.8 |
Total Drug Medicare AllowedAmount |
741.68 |
Total Drug Medicare PaymentAmount |
576.68 |
Total Drug Medicare Standardized Payment Amount |
576.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
155 |
Number Of Medical Services |
3566 |
Number Of Medicare Beneficiaries With Medical Services |
2258 |
Total Medical Submitted Charge Amount |
500639.69 |
Total Medical Medicare Allowed Amount |
136856.62 |
Total Medical Medicare Payment Amount |
109075.23 |
Total Medical Medicare Standardized Payment Amount |
116086.34 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
307 |
Number Of Beneficiaries Age 65 to 74 |
850 |
Number Of Beneficiaries Age 75 to 84 |
665 |
Number Of Beneficiaries Age Greater 84 |
436 |
Number Of Female Beneficiaries |
1559 |
Number Of Male Beneficiaries |
699 |
Number Of Non Hispanic White Beneficiaries |
2037 |
Number Of Black or African American Beneficiaries |
106 |
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
62 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1957 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
301 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4889 |