National Provider Identifier [NPI]: |
1760443915 |
Last Name Of The Provider |
ROSENQUIST |
First Name Of The Provider |
NEIL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
817 MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WINFIELD |
Zip Code Of The Provider |
671562834 |
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 |
130 |
Number Of Services |
4143 |
Number Of Medicare Beneficiaries |
2084 |
Total Submitted Charge Amount |
464409 |
Total Medicare Allowed Amount |
96660.87 |
Total Medicare Payment Amount |
73260.68 |
Total Medicare Standardized Payment Amount |
75453.81 |
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 |
130 |
Number Of Medical Services |
4143 |
Number Of Medicare Beneficiaries With Medical Services |
2084 |
Total Medical Submitted Charge Amount |
464409 |
Total Medical Medicare Allowed Amount |
96660.87 |
Total Medical Medicare Payment Amount |
73260.68 |
Total Medical Medicare Standardized Payment Amount |
75453.81 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
498 |
Number Of Beneficiaries Age 65 to 74 |
804 |
Number Of Beneficiaries Age 75 to 84 |
547 |
Number Of Beneficiaries Age Greater 84 |
235 |
Number Of Female Beneficiaries |
1257 |
Number Of Male Beneficiaries |
827 |
Number Of Non Hispanic White Beneficiaries |
1717 |
Number Of Black or African American Beneficiaries |
281 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1500 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
584 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3809 |