National Provider Identifier [NPI]: |
1417972944 |
Last Name Of The Provider |
CLIFFT |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
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 |
SHAWNEE MISSION |
Zip Code Of The Provider |
662044004 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
292 |
Number Of Services |
4167 |
Number Of Medicare Beneficiaries |
1685 |
Total Submitted Charge Amount |
972583.2 |
Total Medicare Allowed Amount |
191378.38 |
Total Medicare Payment Amount |
148455.37 |
Total Medicare Standardized Payment Amount |
155805.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
883 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
2431.8 |
Total Drug Medicare AllowedAmount |
508.73 |
Total Drug Medicare PaymentAmount |
398.85 |
Total Drug Medicare Standardized Payment Amount |
398.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
287 |
Number Of Medical Services |
3284 |
Number Of Medicare Beneficiaries With Medical Services |
1685 |
Total Medical Submitted Charge Amount |
970151.4 |
Total Medical Medicare Allowed Amount |
190869.65 |
Total Medical Medicare Payment Amount |
148056.52 |
Total Medical Medicare Standardized Payment Amount |
155406.56 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
241 |
Number Of Beneficiaries Age 65 to 74 |
613 |
Number Of Beneficiaries Age 75 to 84 |
461 |
Number Of Beneficiaries Age Greater 84 |
370 |
Number Of Female Beneficiaries |
990 |
Number Of Male Beneficiaries |
695 |
Number Of Non Hispanic White Beneficiaries |
1497 |
Number Of Black or African American Beneficiaries |
92 |
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1433 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
252 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8384 |