National Provider Identifier [NPI]: |
1730184433 |
Last Name Of The Provider |
GRELINGER |
First Name Of The Provider |
BART |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2135 N COLLECTIVE LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672063560 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
6453 |
Number Of Medicare Beneficiaries |
670 |
Total Submitted Charge Amount |
373910 |
Total Medicare Allowed Amount |
214721.86 |
Total Medicare Payment Amount |
150102.63 |
Total Medicare Standardized Payment Amount |
155034.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
4866 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
53300 |
Total Drug Medicare AllowedAmount |
32694.13 |
Total Drug Medicare PaymentAmount |
23807.5 |
Total Drug Medicare Standardized Payment Amount |
23807.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
1587 |
Number Of Medicare Beneficiaries With Medical Services |
670 |
Total Medical Submitted Charge Amount |
320610 |
Total Medical Medicare Allowed Amount |
182027.73 |
Total Medical Medicare Payment Amount |
126295.13 |
Total Medical Medicare Standardized Payment Amount |
131227.39 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
168 |
Number Of Beneficiaries Age 65 to 74 |
239 |
Number Of Beneficiaries Age 75 to 84 |
195 |
Number Of Beneficiaries Age Greater 84 |
68 |
Number Of Female Beneficiaries |
392 |
Number Of Male Beneficiaries |
278 |
Number Of Non Hispanic White Beneficiaries |
627 |
Number Of Black or African American Beneficiaries |
22 |
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 |
574 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
96 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3048 |