National Provider Identifier [NPI]: |
1497728422 |
Last Name Of The Provider |
ROBERTSON |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
20333 W 151ST ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
OLATHE |
Zip Code Of The Provider |
660615350 |
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 |
213 |
Number Of Services |
6083 |
Number Of Medicare Beneficiaries |
3882 |
Total Submitted Charge Amount |
650468 |
Total Medicare Allowed Amount |
211591.43 |
Total Medicare Payment Amount |
156234.42 |
Total Medicare Standardized Payment Amount |
164025.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
213 |
Number Of Medical Services |
6083 |
Number Of Medicare Beneficiaries With Medical Services |
3882 |
Total Medical Submitted Charge Amount |
650468 |
Total Medical Medicare Allowed Amount |
211591.43 |
Total Medical Medicare Payment Amount |
156234.42 |
Total Medical Medicare Standardized Payment Amount |
164025.98 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
804 |
Number Of Beneficiaries Age 65 to 74 |
1421 |
Number Of Beneficiaries Age 75 to 84 |
1047 |
Number Of Beneficiaries Age Greater 84 |
610 |
Number Of Female Beneficiaries |
2369 |
Number Of Male Beneficiaries |
1513 |
Number Of Non Hispanic White Beneficiaries |
3545 |
Number Of Black or African American Beneficiaries |
175 |
Number Of AsianPacific Islander Beneficiaries |
30 |
Number Of Hispanic Beneficiaries |
79 |
Number Of American Indian Alaska Native Beneficiaries |
15 |
Number Of Beneficiaries With Race Not Else where Classified |
38 |
Number Of Beneficiaries With Medicare Only Entitlement |
3044 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
838 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4786 |