National Provider Identifier [NPI]: |
1487618690 |
Last Name Of The Provider |
RONEY |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
140 WESTWOODS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
LIBERTY |
Zip Code Of The Provider |
640681181 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
2839 |
Number Of Medicare Beneficiaries |
687 |
Total Submitted Charge Amount |
294159 |
Total Medicare Allowed Amount |
210063.66 |
Total Medicare Payment Amount |
153648.18 |
Total Medicare Standardized Payment Amount |
157591.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
294 |
Number Of Medicare Beneficiaries With Drug Services |
185 |
Total Drug Submitted ChargeAmount |
9156 |
Total Drug Medicare AllowedAmount |
4691.81 |
Total Drug Medicare PaymentAmount |
4412.8 |
Total Drug Medicare Standardized Payment Amount |
4412.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
2545 |
Number Of Medicare Beneficiaries With Medical Services |
687 |
Total Medical Submitted Charge Amount |
285003 |
Total Medical Medicare Allowed Amount |
205371.85 |
Total Medical Medicare Payment Amount |
149235.38 |
Total Medical Medicare Standardized Payment Amount |
153179.07 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
339 |
Number Of Beneficiaries Age 75 to 84 |
192 |
Number Of Beneficiaries Age Greater 84 |
81 |
Number Of Female Beneficiaries |
379 |
Number Of Male Beneficiaries |
308 |
Number Of Non Hispanic White Beneficiaries |
662 |
Number Of Black or African American Beneficiaries |
|
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 |
665 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9633 |