National Provider Identifier [NPI]: |
1124113972 |
Last Name Of The Provider |
WHERRY-ROYS |
First Name Of The Provider |
KIMBERLY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9100 W 74TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
OVERLAND PARK |
Zip Code Of The Provider |
662044004 |
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 |
163 |
Number Of Services |
6006 |
Number Of Medicare Beneficiaries |
2437 |
Total Submitted Charge Amount |
557249.92 |
Total Medicare Allowed Amount |
173986.49 |
Total Medicare Payment Amount |
142751.44 |
Total Medicare Standardized Payment Amount |
153963.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1884 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
7059 |
Total Drug Medicare AllowedAmount |
1589.25 |
Total Drug Medicare PaymentAmount |
1245.98 |
Total Drug Medicare Standardized Payment Amount |
1245.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
158 |
Number Of Medical Services |
4122 |
Number Of Medicare Beneficiaries With Medical Services |
2437 |
Total Medical Submitted Charge Amount |
550190.92 |
Total Medical Medicare Allowed Amount |
172397.24 |
Total Medical Medicare Payment Amount |
141505.46 |
Total Medical Medicare Standardized Payment Amount |
152717.09 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
324 |
Number Of Beneficiaries Age 65 to 74 |
1110 |
Number Of Beneficiaries Age 75 to 84 |
667 |
Number Of Beneficiaries Age Greater 84 |
336 |
Number Of Female Beneficiaries |
1818 |
Number Of Male Beneficiaries |
619 |
Number Of Non Hispanic White Beneficiaries |
2197 |
Number Of Black or African American Beneficiaries |
123 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
59 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
2171 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
266 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3104 |