National Provider Identifier [NPI]: |
1790704583 |
Last Name Of The Provider |
LANGHOLZ |
First Name Of The Provider |
JANICE |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2330 SHAWNEE MISSION PKWY |
Street Address 2 Of The Provider |
SUITE 2201 |
City Of The Provider |
WESTWOOD |
Zip Code Of The Provider |
662052005 |
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 |
33 |
Number Of Services |
1803 |
Number Of Medicare Beneficiaries |
292 |
Total Submitted Charge Amount |
178304.4 |
Total Medicare Allowed Amount |
119459.26 |
Total Medicare Payment Amount |
89378.6 |
Total Medicare Standardized Payment Amount |
95992.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
525 |
Number Of Medicare Beneficiaries With Drug Services |
130 |
Total Drug Submitted ChargeAmount |
12019.4 |
Total Drug Medicare AllowedAmount |
8731.13 |
Total Drug Medicare PaymentAmount |
7512.76 |
Total Drug Medicare Standardized Payment Amount |
7512.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
1278 |
Number Of Medicare Beneficiaries With Medical Services |
292 |
Total Medical Submitted Charge Amount |
166285 |
Total Medical Medicare Allowed Amount |
110728.13 |
Total Medical Medicare Payment Amount |
81865.84 |
Total Medical Medicare Standardized Payment Amount |
88479.28 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
180 |
Number Of Beneficiaries Age 75 to 84 |
67 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
260 |
Number Of Male Beneficiaries |
32 |
Number Of Non Hispanic White Beneficiaries |
272 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
8 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8139 |