National Provider Identifier [NPI]: |
1841229200 |
Last Name Of The Provider |
TWENTER |
First Name Of The Provider |
KATHRYN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
290 NE TUDOR RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEES SUMMIT |
Zip Code Of The Provider |
640865696 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
2570 |
Number Of Medicare Beneficiaries |
615 |
Total Submitted Charge Amount |
501764.9 |
Total Medicare Allowed Amount |
305034.12 |
Total Medicare Payment Amount |
236760.52 |
Total Medicare Standardized Payment Amount |
244358.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
2570 |
Number Of Medicare Beneficiaries With Medical Services |
615 |
Total Medical Submitted Charge Amount |
501764.9 |
Total Medical Medicare Allowed Amount |
305034.12 |
Total Medical Medicare Payment Amount |
236760.52 |
Total Medical Medicare Standardized Payment Amount |
244358.44 |
Average Age Of Beneficiaries |
83 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
100 |
Number Of Beneficiaries Age 75 to 84 |
198 |
Number Of Beneficiaries Age Greater 84 |
294 |
Number Of Female Beneficiaries |
436 |
Number Of Male Beneficiaries |
179 |
Number Of Non Hispanic White Beneficiaries |
575 |
Number Of Black or African American Beneficiaries |
25 |
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 |
494 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
121 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
54 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
59 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
24 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
21 |
Average HCC Risk Score Of Beneficiaries |
1.8783 |