National Provider Identifier [NPI]: |
1619957909 |
Last Name Of The Provider |
MCGHIE |
First Name Of The Provider |
PATRICIA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4801 MAIN ST |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
641122929 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
124 |
Number Of Services |
17274 |
Number Of Medicare Beneficiaries |
1132 |
Total Submitted Charge Amount |
761147 |
Total Medicare Allowed Amount |
229374.3 |
Total Medicare Payment Amount |
182412.66 |
Total Medicare Standardized Payment Amount |
195452.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
15412 |
Number Of Medicare Beneficiaries With Drug Services |
152 |
Total Drug Submitted ChargeAmount |
61648 |
Total Drug Medicare AllowedAmount |
2858.91 |
Total Drug Medicare PaymentAmount |
2131.85 |
Total Drug Medicare Standardized Payment Amount |
2131.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
123 |
Number Of Medical Services |
1862 |
Number Of Medicare Beneficiaries With Medical Services |
1132 |
Total Medical Submitted Charge Amount |
699499 |
Total Medical Medicare Allowed Amount |
226515.39 |
Total Medical Medicare Payment Amount |
180280.81 |
Total Medical Medicare Standardized Payment Amount |
193320.63 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
110 |
Number Of Beneficiaries Age 65 to 74 |
645 |
Number Of Beneficiaries Age 75 to 84 |
301 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
804 |
Number Of Male Beneficiaries |
328 |
Number Of Non Hispanic White Beneficiaries |
1029 |
Number Of Black or African American Beneficiaries |
73 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1092 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
40 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8871 |