National Provider Identifier [NPI]: |
1932189230 |
Last Name Of The Provider |
NOTO |
First Name Of The Provider |
ANGELA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4801 MAIN ST |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
641122929 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
149 |
Number Of Services |
15544 |
Number Of Medicare Beneficiaries |
1470 |
Total Submitted Charge Amount |
963363 |
Total Medicare Allowed Amount |
283998.74 |
Total Medicare Payment Amount |
222727.67 |
Total Medicare Standardized Payment Amount |
240089.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
13144 |
Number Of Medicare Beneficiaries With Drug Services |
146 |
Total Drug Submitted ChargeAmount |
52918 |
Total Drug Medicare AllowedAmount |
2623.96 |
Total Drug Medicare PaymentAmount |
2041.42 |
Total Drug Medicare Standardized Payment Amount |
2041.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
146 |
Number Of Medical Services |
2400 |
Number Of Medicare Beneficiaries With Medical Services |
1470 |
Total Medical Submitted Charge Amount |
910445 |
Total Medical Medicare Allowed Amount |
281374.78 |
Total Medical Medicare Payment Amount |
220686.25 |
Total Medical Medicare Standardized Payment Amount |
238048.17 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
159 |
Number Of Beneficiaries Age 65 to 74 |
856 |
Number Of Beneficiaries Age 75 to 84 |
364 |
Number Of Beneficiaries Age Greater 84 |
91 |
Number Of Female Beneficiaries |
1046 |
Number Of Male Beneficiaries |
424 |
Number Of Non Hispanic White Beneficiaries |
1311 |
Number Of Black or African American Beneficiaries |
116 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1415 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8701 |