National Provider Identifier [NPI]: |
1821005430 |
Last Name Of The Provider |
REED |
First Name Of The Provider |
KELLY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4323 NW URBANDALE DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
URBANDALE |
Zip Code Of The Provider |
50322 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
1449 |
Number Of Medicare Beneficiaries |
170 |
Total Submitted Charge Amount |
93632 |
Total Medicare Allowed Amount |
47766.84 |
Total Medicare Payment Amount |
34033.86 |
Total Medicare Standardized Payment Amount |
37098.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
51 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
1685 |
Total Drug Medicare AllowedAmount |
1395.09 |
Total Drug Medicare PaymentAmount |
1339.09 |
Total Drug Medicare Standardized Payment Amount |
1339.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
1398 |
Number Of Medicare Beneficiaries With Medical Services |
170 |
Total Medical Submitted Charge Amount |
91947 |
Total Medical Medicare Allowed Amount |
46371.75 |
Total Medical Medicare Payment Amount |
32694.77 |
Total Medical Medicare Standardized Payment Amount |
35759.86 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
110 |
Number Of Beneficiaries Age 75 to 84 |
30 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
141 |
Number Of Male Beneficiaries |
29 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
16 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
42 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.6903 |