National Provider Identifier [NPI]: |
1073576229 |
Last Name Of The Provider |
REICHMUTH |
First Name Of The Provider |
KEVIN |
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 |
1500 S 48TH ST |
Street Address 2 Of The Provider |
SUITE 800 |
City Of The Provider |
LINCOLN |
Zip Code Of The Provider |
685061276 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
4242 |
Number Of Medicare Beneficiaries |
1152 |
Total Submitted Charge Amount |
381159.79 |
Total Medicare Allowed Amount |
352361.34 |
Total Medicare Payment Amount |
264776.68 |
Total Medicare Standardized Payment Amount |
289781.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
49 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
963.13 |
Total Drug Medicare AllowedAmount |
640.77 |
Total Drug Medicare PaymentAmount |
617.56 |
Total Drug Medicare Standardized Payment Amount |
617.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
4193 |
Number Of Medicare Beneficiaries With Medical Services |
1152 |
Total Medical Submitted Charge Amount |
380196.66 |
Total Medical Medicare Allowed Amount |
351720.57 |
Total Medical Medicare Payment Amount |
264159.12 |
Total Medical Medicare Standardized Payment Amount |
289164.43 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
188 |
Number Of Beneficiaries Age 65 to 74 |
448 |
Number Of Beneficiaries Age 75 to 84 |
370 |
Number Of Beneficiaries Age Greater 84 |
146 |
Number Of Female Beneficiaries |
600 |
Number Of Male Beneficiaries |
552 |
Number Of Non Hispanic White Beneficiaries |
1104 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
909 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
243 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
53 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6998 |