National Provider Identifier [NPI]: |
1114907425 |
Last Name Of The Provider |
REUTER |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4801 MAIN ST |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
641122929 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
130 |
Number Of Services |
12922 |
Number Of Medicare Beneficiaries |
1272 |
Total Submitted Charge Amount |
1117173 |
Total Medicare Allowed Amount |
298078.7 |
Total Medicare Payment Amount |
233437.58 |
Total Medicare Standardized Payment Amount |
251448.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
10848 |
Number Of Medicare Beneficiaries With Drug Services |
131 |
Total Drug Submitted ChargeAmount |
43681 |
Total Drug Medicare AllowedAmount |
2186.72 |
Total Drug Medicare PaymentAmount |
1629.28 |
Total Drug Medicare Standardized Payment Amount |
1629.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
127 |
Number Of Medical Services |
2074 |
Number Of Medicare Beneficiaries With Medical Services |
1272 |
Total Medical Submitted Charge Amount |
1073492 |
Total Medical Medicare Allowed Amount |
295891.98 |
Total Medical Medicare Payment Amount |
231808.3 |
Total Medical Medicare Standardized Payment Amount |
249819.06 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
721 |
Number Of Beneficiaries Age 75 to 84 |
321 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
871 |
Number Of Male Beneficiaries |
401 |
Number Of Non Hispanic White Beneficiaries |
1149 |
Number Of Black or African American Beneficiaries |
65 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1240 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8836 |