National Provider Identifier [NPI]: |
1477604817 |
Last Name Of The Provider |
BOX |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1010 CARONDELET DR |
Street Address 2 Of The Provider |
SUITE 224A |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
641144859 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
124 |
Number Of Services |
167026 |
Number Of Medicare Beneficiaries |
778 |
Total Submitted Charge Amount |
5355293 |
Total Medicare Allowed Amount |
3264812.35 |
Total Medicare Payment Amount |
2486805.13 |
Total Medicare Standardized Payment Amount |
2502899.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
28 |
Number Of Drug Services |
155341 |
Number Of Medicare Beneficiaries With Drug Services |
392 |
Total Drug Submitted ChargeAmount |
4495035 |
Total Drug Medicare AllowedAmount |
2839957.75 |
Total Drug Medicare PaymentAmount |
2171658.12 |
Total Drug Medicare Standardized Payment Amount |
2171658.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
96 |
Number Of Medical Services |
11685 |
Number Of Medicare Beneficiaries With Medical Services |
778 |
Total Medical Submitted Charge Amount |
860258 |
Total Medical Medicare Allowed Amount |
424854.6 |
Total Medical Medicare Payment Amount |
315147.01 |
Total Medical Medicare Standardized Payment Amount |
331241.61 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
245 |
Number Of Beneficiaries Age 65 to 74 |
289 |
Number Of Beneficiaries Age 75 to 84 |
180 |
Number Of Beneficiaries Age Greater 84 |
64 |
Number Of Female Beneficiaries |
621 |
Number Of Male Beneficiaries |
157 |
Number Of Non Hispanic White Beneficiaries |
659 |
Number Of Black or African American Beneficiaries |
90 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
662 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
74 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2384 |