National Provider Identifier [NPI]: |
1336257427 |
Last Name Of The Provider |
LAUER |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8200 W CENTRAL AVE |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672129503 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
154 |
Number Of Services |
3332 |
Number Of Medicare Beneficiaries |
402 |
Total Submitted Charge Amount |
281738 |
Total Medicare Allowed Amount |
147727.73 |
Total Medicare Payment Amount |
109392.51 |
Total Medicare Standardized Payment Amount |
119258.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
354 |
Number Of Medicare Beneficiaries With Drug Services |
130 |
Total Drug Submitted ChargeAmount |
8556 |
Total Drug Medicare AllowedAmount |
2335.18 |
Total Drug Medicare PaymentAmount |
1973.37 |
Total Drug Medicare Standardized Payment Amount |
1973.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
142 |
Number Of Medical Services |
2978 |
Number Of Medicare Beneficiaries With Medical Services |
402 |
Total Medical Submitted Charge Amount |
273182 |
Total Medical Medicare Allowed Amount |
145392.55 |
Total Medical Medicare Payment Amount |
107419.14 |
Total Medical Medicare Standardized Payment Amount |
117285.29 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
201 |
Number Of Beneficiaries Age 75 to 84 |
115 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
241 |
Number Of Male Beneficiaries |
161 |
Number Of Non Hispanic White Beneficiaries |
391 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
389 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
32 |
Percent Of With Hypertension |
43 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8452 |