National Provider Identifier [NPI]: |
1790942951 |
Last Name Of The Provider |
PULS |
First Name Of The Provider |
DARCY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2040 HUTTON RD |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
661094526 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
2346 |
Number Of Medicare Beneficiaries |
328 |
Total Submitted Charge Amount |
179409.5 |
Total Medicare Allowed Amount |
115987.87 |
Total Medicare Payment Amount |
85320.53 |
Total Medicare Standardized Payment Amount |
90651.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
187 |
Number Of Medicare Beneficiaries With Drug Services |
114 |
Total Drug Submitted ChargeAmount |
6814 |
Total Drug Medicare AllowedAmount |
4444.99 |
Total Drug Medicare PaymentAmount |
4317.15 |
Total Drug Medicare Standardized Payment Amount |
4317.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
2159 |
Number Of Medicare Beneficiaries With Medical Services |
328 |
Total Medical Submitted Charge Amount |
172595.5 |
Total Medical Medicare Allowed Amount |
111542.88 |
Total Medical Medicare Payment Amount |
81003.38 |
Total Medical Medicare Standardized Payment Amount |
86334.14 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
132 |
Number Of Beneficiaries Age 75 to 84 |
95 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
232 |
Number Of Male Beneficiaries |
96 |
Number Of Non Hispanic White Beneficiaries |
265 |
Number Of Black or African American Beneficiaries |
48 |
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 |
294 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1555 |