National Provider Identifier [NPI]: |
1417138546 |
Last Name Of The Provider |
KITCHIN |
First Name Of The Provider |
DOUGLAS |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 S PARK ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MADISON |
Zip Code Of The Provider |
537151830 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
199 |
Number Of Services |
8794 |
Number Of Medicare Beneficiaries |
2463 |
Total Submitted Charge Amount |
1256953.79 |
Total Medicare Allowed Amount |
157298.38 |
Total Medicare Payment Amount |
123012.85 |
Total Medicare Standardized Payment Amount |
129141.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
5237 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
5896 |
Total Drug Medicare AllowedAmount |
1414.24 |
Total Drug Medicare PaymentAmount |
1103.64 |
Total Drug Medicare Standardized Payment Amount |
1103.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
193 |
Number Of Medical Services |
3557 |
Number Of Medicare Beneficiaries With Medical Services |
2463 |
Total Medical Submitted Charge Amount |
1251057.79 |
Total Medical Medicare Allowed Amount |
155884.14 |
Total Medical Medicare Payment Amount |
121909.21 |
Total Medical Medicare Standardized Payment Amount |
128037.46 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
485 |
Number Of Beneficiaries Age 65 to 74 |
960 |
Number Of Beneficiaries Age 75 to 84 |
656 |
Number Of Beneficiaries Age Greater 84 |
362 |
Number Of Female Beneficiaries |
1426 |
Number Of Male Beneficiaries |
1037 |
Number Of Non Hispanic White Beneficiaries |
2320 |
Number Of Black or African American Beneficiaries |
56 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
1884 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
579 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4809 |