National Provider Identifier [NPI]: |
1245378918 |
Last Name Of The Provider |
SAUER |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1235 E CHEROKEE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
658042203 |
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 |
152 |
Number Of Services |
6742 |
Number Of Medicare Beneficiaries |
4534 |
Total Submitted Charge Amount |
1205994 |
Total Medicare Allowed Amount |
233739.1 |
Total Medicare Payment Amount |
175467.81 |
Total Medicare Standardized Payment Amount |
186014.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
152 |
Number Of Medical Services |
6742 |
Number Of Medicare Beneficiaries With Medical Services |
4534 |
Total Medical Submitted Charge Amount |
1205994 |
Total Medical Medicare Allowed Amount |
233739.1 |
Total Medical Medicare Payment Amount |
175467.81 |
Total Medical Medicare Standardized Payment Amount |
186014.93 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
1044 |
Number Of Beneficiaries Age 65 to 74 |
1625 |
Number Of Beneficiaries Age 75 to 84 |
1252 |
Number Of Beneficiaries Age Greater 84 |
613 |
Number Of Female Beneficiaries |
2532 |
Number Of Male Beneficiaries |
2002 |
Number Of Non Hispanic White Beneficiaries |
4372 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
20 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
3396 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1138 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5128 |