National Provider Identifier [NPI]: |
1891780128 |
Last Name Of The Provider |
THOMPSON |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12200 W 106TH ST |
Street Address 2 Of The Provider |
SUITE 320 |
City Of The Provider |
OVERLAND PARK |
Zip Code Of The Provider |
662152300 |
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 |
60 |
Number Of Services |
4490 |
Number Of Medicare Beneficiaries |
1565 |
Total Submitted Charge Amount |
716328 |
Total Medicare Allowed Amount |
317566.31 |
Total Medicare Payment Amount |
239199.05 |
Total Medicare Standardized Payment Amount |
255414.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
236 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
22420 |
Total Drug Medicare AllowedAmount |
12498.87 |
Total Drug Medicare PaymentAmount |
9519.75 |
Total Drug Medicare Standardized Payment Amount |
9519.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
4254 |
Number Of Medicare Beneficiaries With Medical Services |
1565 |
Total Medical Submitted Charge Amount |
693908 |
Total Medical Medicare Allowed Amount |
305067.44 |
Total Medical Medicare Payment Amount |
229679.3 |
Total Medical Medicare Standardized Payment Amount |
245894.65 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
187 |
Number Of Beneficiaries Age 65 to 74 |
640 |
Number Of Beneficiaries Age 75 to 84 |
410 |
Number Of Beneficiaries Age Greater 84 |
328 |
Number Of Female Beneficiaries |
841 |
Number Of Male Beneficiaries |
724 |
Number Of Non Hispanic White Beneficiaries |
1417 |
Number Of Black or African American Beneficiaries |
59 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1353 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
212 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.4304 |