National Provider Identifier [NPI]: |
1669425807 |
Last Name Of The Provider |
MORGAN |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
20805 W 151ST ST |
Street Address 2 Of The Provider |
STE # 224 |
City Of The Provider |
OLATHE |
Zip Code Of The Provider |
660617249 |
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 |
52 |
Number Of Services |
4010 |
Number Of Medicare Beneficiaries |
821 |
Total Submitted Charge Amount |
416046 |
Total Medicare Allowed Amount |
263670.37 |
Total Medicare Payment Amount |
195112.45 |
Total Medicare Standardized Payment Amount |
205853.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
323 |
Number Of Medicare Beneficiaries With Drug Services |
220 |
Total Drug Submitted ChargeAmount |
15334 |
Total Drug Medicare AllowedAmount |
8185.32 |
Total Drug Medicare PaymentAmount |
7843.93 |
Total Drug Medicare Standardized Payment Amount |
7843.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
3687 |
Number Of Medicare Beneficiaries With Medical Services |
821 |
Total Medical Submitted Charge Amount |
400712 |
Total Medical Medicare Allowed Amount |
255485.05 |
Total Medical Medicare Payment Amount |
187268.52 |
Total Medical Medicare Standardized Payment Amount |
198009.44 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
282 |
Number Of Beneficiaries Age 75 to 84 |
257 |
Number Of Beneficiaries Age Greater 84 |
186 |
Number Of Female Beneficiaries |
460 |
Number Of Male Beneficiaries |
361 |
Number Of Non Hispanic White Beneficiaries |
778 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
718 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
103 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4868 |