National Provider Identifier [NPI]: |
1619927720 |
Last Name Of The Provider |
POMEROY |
First Name Of The Provider |
BRANDON |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4321 WASHINGTON ST |
Street Address 2 Of The Provider |
SUITE 5300 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
641115961 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
98 |
Number Of Services |
7818 |
Number Of Medicare Beneficiaries |
1267 |
Total Submitted Charge Amount |
1116968.24 |
Total Medicare Allowed Amount |
454898.49 |
Total Medicare Payment Amount |
341629.94 |
Total Medicare Standardized Payment Amount |
356315.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
3353 |
Number Of Medicare Beneficiaries With Drug Services |
107 |
Total Drug Submitted ChargeAmount |
341215.24 |
Total Drug Medicare AllowedAmount |
118471.49 |
Total Drug Medicare PaymentAmount |
91813.07 |
Total Drug Medicare Standardized Payment Amount |
91813.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
4465 |
Number Of Medicare Beneficiaries With Medical Services |
1267 |
Total Medical Submitted Charge Amount |
775753 |
Total Medical Medicare Allowed Amount |
336427 |
Total Medical Medicare Payment Amount |
249816.87 |
Total Medical Medicare Standardized Payment Amount |
264502.1 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
143 |
Number Of Beneficiaries Age 65 to 74 |
467 |
Number Of Beneficiaries Age 75 to 84 |
471 |
Number Of Beneficiaries Age Greater 84 |
186 |
Number Of Female Beneficiaries |
332 |
Number Of Male Beneficiaries |
935 |
Number Of Non Hispanic White Beneficiaries |
1128 |
Number Of Black or African American Beneficiaries |
90 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1118 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
149 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3978 |