National Provider Identifier [NPI]: |
1114936986 |
Last Name Of The Provider |
GENTON |
First Name Of The Provider |
RANDALL |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3901 RAINBOW BLVD |
Street Address 2 Of The Provider |
STE G600 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
661608500 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
6488 |
Number Of Medicare Beneficiaries |
2552 |
Total Submitted Charge Amount |
423437 |
Total Medicare Allowed Amount |
241805.51 |
Total Medicare Payment Amount |
181236.91 |
Total Medicare Standardized Payment Amount |
192189.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
68 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
4864 |
Total Drug Medicare AllowedAmount |
3601.24 |
Total Drug Medicare PaymentAmount |
2823.36 |
Total Drug Medicare Standardized Payment Amount |
2823.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
6420 |
Number Of Medicare Beneficiaries With Medical Services |
2552 |
Total Medical Submitted Charge Amount |
418573 |
Total Medical Medicare Allowed Amount |
238204.27 |
Total Medical Medicare Payment Amount |
178413.55 |
Total Medical Medicare Standardized Payment Amount |
189365.95 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
690 |
Number Of Beneficiaries Age 65 to 74 |
1048 |
Number Of Beneficiaries Age 75 to 84 |
604 |
Number Of Beneficiaries Age Greater 84 |
210 |
Number Of Female Beneficiaries |
1169 |
Number Of Male Beneficiaries |
1383 |
Number Of Non Hispanic White Beneficiaries |
2035 |
Number Of Black or African American Beneficiaries |
344 |
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
103 |
Number Of American Indian Alaska Native Beneficiaries |
18 |
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
2003 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
549 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.4311 |