National Provider Identifier [NPI]: |
1235207309 |
Last Name Of The Provider |
BENSON |
First Name Of The Provider |
KATHLEEN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4432 S EASTERN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891197825 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
5525 |
Number Of Medicare Beneficiaries |
1419 |
Total Submitted Charge Amount |
1842336.78 |
Total Medicare Allowed Amount |
482112.42 |
Total Medicare Payment Amount |
357767.49 |
Total Medicare Standardized Payment Amount |
358967.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
347 |
Number Of Medicare Beneficiaries With Drug Services |
83 |
Total Drug Submitted ChargeAmount |
32150 |
Total Drug Medicare AllowedAmount |
15734.81 |
Total Drug Medicare PaymentAmount |
11886.51 |
Total Drug Medicare Standardized Payment Amount |
11886.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
5178 |
Number Of Medicare Beneficiaries With Medical Services |
1419 |
Total Medical Submitted Charge Amount |
1810186.78 |
Total Medical Medicare Allowed Amount |
466377.61 |
Total Medical Medicare Payment Amount |
345880.98 |
Total Medical Medicare Standardized Payment Amount |
347080.71 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
342 |
Number Of Beneficiaries Age 65 to 74 |
529 |
Number Of Beneficiaries Age 75 to 84 |
381 |
Number Of Beneficiaries Age Greater 84 |
167 |
Number Of Female Beneficiaries |
722 |
Number Of Male Beneficiaries |
697 |
Number Of Non Hispanic White Beneficiaries |
868 |
Number Of Black or African American Beneficiaries |
200 |
Number Of AsianPacific Islander Beneficiaries |
99 |
Number Of Hispanic Beneficiaries |
216 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
919 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
500 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.1791 |