National Provider Identifier [NPI]: |
1376521468 |
Last Name Of The Provider |
ROBINSON |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
505 S PLUMMER AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHANUTE |
Zip Code Of The Provider |
667201950 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
162 |
Number Of Services |
6291 |
Number Of Medicare Beneficiaries |
794 |
Total Submitted Charge Amount |
1636228.6 |
Total Medicare Allowed Amount |
434304.44 |
Total Medicare Payment Amount |
326270.64 |
Total Medicare Standardized Payment Amount |
344175.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
1987 |
Number Of Medicare Beneficiaries With Drug Services |
59 |
Total Drug Submitted ChargeAmount |
200338 |
Total Drug Medicare AllowedAmount |
81271.84 |
Total Drug Medicare PaymentAmount |
62999.75 |
Total Drug Medicare Standardized Payment Amount |
62999.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
151 |
Number Of Medical Services |
4304 |
Number Of Medicare Beneficiaries With Medical Services |
794 |
Total Medical Submitted Charge Amount |
1435890.6 |
Total Medical Medicare Allowed Amount |
353032.6 |
Total Medical Medicare Payment Amount |
263270.89 |
Total Medical Medicare Standardized Payment Amount |
281175.51 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
119 |
Number Of Beneficiaries Age 65 to 74 |
303 |
Number Of Beneficiaries Age 75 to 84 |
234 |
Number Of Beneficiaries Age Greater 84 |
138 |
Number Of Female Beneficiaries |
300 |
Number Of Male Beneficiaries |
494 |
Number Of Non Hispanic White Beneficiaries |
764 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
597 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
197 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1925 |