National Provider Identifier [NPI]: |
1548261696 |
Last Name Of The Provider |
WEISHAAR |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
530 N LORRAINE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672144837 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
17859 |
Number Of Medicare Beneficiaries |
1757 |
Total Submitted Charge Amount |
7840020 |
Total Medicare Allowed Amount |
4337552.83 |
Total Medicare Payment Amount |
3351263.54 |
Total Medicare Standardized Payment Amount |
3410023.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
8461 |
Number Of Medicare Beneficiaries With Drug Services |
499 |
Total Drug Submitted ChargeAmount |
4016730 |
Total Drug Medicare AllowedAmount |
3182186.34 |
Total Drug Medicare PaymentAmount |
2488703.69 |
Total Drug Medicare Standardized Payment Amount |
2488703.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
9398 |
Number Of Medicare Beneficiaries With Medical Services |
1757 |
Total Medical Submitted Charge Amount |
3823290 |
Total Medical Medicare Allowed Amount |
1155366.49 |
Total Medical Medicare Payment Amount |
862559.85 |
Total Medical Medicare Standardized Payment Amount |
921319.75 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
141 |
Number Of Beneficiaries Age 65 to 74 |
596 |
Number Of Beneficiaries Age 75 to 84 |
625 |
Number Of Beneficiaries Age Greater 84 |
395 |
Number Of Female Beneficiaries |
1043 |
Number Of Male Beneficiaries |
714 |
Number Of Non Hispanic White Beneficiaries |
1615 |
Number Of Black or African American Beneficiaries |
41 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
69 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1528 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
229 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4397 |