National Provider Identifier [NPI]: |
1336223346 |
Last Name Of The Provider |
JOHNSON |
First Name Of The Provider |
JOY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9201 PARALLEL PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
661121528 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
140 |
Number Of Services |
26050 |
Number Of Medicare Beneficiaries |
2350 |
Total Submitted Charge Amount |
3404842.65 |
Total Medicare Allowed Amount |
576918.38 |
Total Medicare Payment Amount |
451146.32 |
Total Medicare Standardized Payment Amount |
442895.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
21946 |
Number Of Medicare Beneficiaries With Drug Services |
311 |
Total Drug Submitted ChargeAmount |
36160.65 |
Total Drug Medicare AllowedAmount |
8526.11 |
Total Drug Medicare PaymentAmount |
6578.82 |
Total Drug Medicare Standardized Payment Amount |
6578.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
138 |
Number Of Medical Services |
4104 |
Number Of Medicare Beneficiaries With Medical Services |
2338 |
Total Medical Submitted Charge Amount |
3368682 |
Total Medical Medicare Allowed Amount |
568392.27 |
Total Medical Medicare Payment Amount |
444567.5 |
Total Medical Medicare Standardized Payment Amount |
436317.01 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
162 |
Number Of Beneficiaries Age 65 to 74 |
1358 |
Number Of Beneficiaries Age 75 to 84 |
692 |
Number Of Beneficiaries Age Greater 84 |
138 |
Number Of Female Beneficiaries |
1633 |
Number Of Male Beneficiaries |
717 |
Number Of Non Hispanic White Beneficiaries |
375 |
Number Of Black or African American Beneficiaries |
1756 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
144 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
50 |
Number Of Beneficiaries With Medicare Only Entitlement |
2322 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
28 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
3 |
Percent Of With Depression |
4 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
0.7922 |