National Provider Identifier [NPI]: |
1952370256 |
Last Name Of The Provider |
KIM |
First Name Of The Provider |
NEWRHEE |
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 |
600 HIGHLAND AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MADISON |
Zip Code Of The Provider |
53792 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
167 |
Number Of Services |
9495 |
Number Of Medicare Beneficiaries |
2353 |
Total Submitted Charge Amount |
1313425.5 |
Total Medicare Allowed Amount |
150603.61 |
Total Medicare Payment Amount |
109326.59 |
Total Medicare Standardized Payment Amount |
115947.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
6256 |
Number Of Medicare Beneficiaries With Drug Services |
85 |
Total Drug Submitted ChargeAmount |
8509.5 |
Total Drug Medicare AllowedAmount |
2347.29 |
Total Drug Medicare PaymentAmount |
1786.72 |
Total Drug Medicare Standardized Payment Amount |
1786.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
162 |
Number Of Medical Services |
3239 |
Number Of Medicare Beneficiaries With Medical Services |
2352 |
Total Medical Submitted Charge Amount |
1304916 |
Total Medical Medicare Allowed Amount |
148256.32 |
Total Medical Medicare Payment Amount |
107539.87 |
Total Medical Medicare Standardized Payment Amount |
114160.81 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
458 |
Number Of Beneficiaries Age 65 to 74 |
821 |
Number Of Beneficiaries Age 75 to 84 |
690 |
Number Of Beneficiaries Age Greater 84 |
384 |
Number Of Female Beneficiaries |
1371 |
Number Of Male Beneficiaries |
982 |
Number Of Non Hispanic White Beneficiaries |
2182 |
Number Of Black or African American Beneficiaries |
71 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
31 |
Number Of Beneficiaries With Medicare Only Entitlement |
1803 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
550 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3659 |