National Provider Identifier [NPI]: |
1528263043 |
Last Name Of The Provider |
DEUTSCH |
First Name Of The Provider |
JEREMY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
818 N EMPORIA ST |
Street Address 2 Of The Provider |
SUITE 403 |
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672143729 |
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 |
196 |
Number Of Services |
209314 |
Number Of Medicare Beneficiaries |
946 |
Total Submitted Charge Amount |
7398595.4 |
Total Medicare Allowed Amount |
3325544.45 |
Total Medicare Payment Amount |
2567368.67 |
Total Medicare Standardized Payment Amount |
2586346.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
91 |
Number Of Drug Services |
194359 |
Number Of Medicare Beneficiaries With Drug Services |
450 |
Total Drug Submitted ChargeAmount |
6118598.4 |
Total Drug Medicare AllowedAmount |
2797887.62 |
Total Drug Medicare PaymentAmount |
2159076.42 |
Total Drug Medicare Standardized Payment Amount |
2159076.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
105 |
Number Of Medical Services |
14955 |
Number Of Medicare Beneficiaries With Medical Services |
946 |
Total Medical Submitted Charge Amount |
1279997 |
Total Medical Medicare Allowed Amount |
527656.83 |
Total Medical Medicare Payment Amount |
408292.25 |
Total Medical Medicare Standardized Payment Amount |
427270.48 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
433 |
Number Of Beneficiaries Age 75 to 84 |
322 |
Number Of Beneficiaries Age Greater 84 |
86 |
Number Of Female Beneficiaries |
602 |
Number Of Male Beneficiaries |
344 |
Number Of Non Hispanic White Beneficiaries |
866 |
Number Of Black or African American Beneficiaries |
41 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
848 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
98 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
57 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
24 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.9329 |