National Provider Identifier [NPI]: |
1730386004 |
Last Name Of The Provider |
ALLEN |
First Name Of The Provider |
DREW |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2790 CLAY EDWARDS DR |
Street Address 2 Of The Provider |
SUITE 520 |
City Of The Provider |
NORTH KANSAS CITY |
Zip Code Of The Provider |
641163276 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
119 |
Number Of Services |
5659 |
Number Of Medicare Beneficiaries |
1438 |
Total Submitted Charge Amount |
1574529 |
Total Medicare Allowed Amount |
421513.41 |
Total Medicare Payment Amount |
312270.15 |
Total Medicare Standardized Payment Amount |
330147.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
656 |
Number Of Medicare Beneficiaries With Drug Services |
81 |
Total Drug Submitted ChargeAmount |
62611 |
Total Drug Medicare AllowedAmount |
12639.92 |
Total Drug Medicare PaymentAmount |
9909.67 |
Total Drug Medicare Standardized Payment Amount |
9909.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
114 |
Number Of Medical Services |
5003 |
Number Of Medicare Beneficiaries With Medical Services |
1438 |
Total Medical Submitted Charge Amount |
1511918 |
Total Medical Medicare Allowed Amount |
408873.49 |
Total Medical Medicare Payment Amount |
302360.48 |
Total Medical Medicare Standardized Payment Amount |
320238.2 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
152 |
Number Of Beneficiaries Age 65 to 74 |
502 |
Number Of Beneficiaries Age 75 to 84 |
485 |
Number Of Beneficiaries Age Greater 84 |
299 |
Number Of Female Beneficiaries |
733 |
Number Of Male Beneficiaries |
705 |
Number Of Non Hispanic White Beneficiaries |
1365 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1234 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
204 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4925 |