National Provider Identifier [NPI]: |
1578544185 |
Last Name Of The Provider |
PARRIS |
First Name Of The Provider |
ROGER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
403 WOODLAND HILLS BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT SCOTT |
Zip Code Of The Provider |
667018798 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
132 |
Number Of Services |
15595 |
Number Of Medicare Beneficiaries |
705 |
Total Submitted Charge Amount |
666802.29 |
Total Medicare Allowed Amount |
343633.23 |
Total Medicare Payment Amount |
249237.77 |
Total Medicare Standardized Payment Amount |
258897.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
55 |
Number Of Drug Services |
12505 |
Number Of Medicare Beneficiaries With Drug Services |
287 |
Total Drug Submitted ChargeAmount |
326878.44 |
Total Drug Medicare AllowedAmount |
140355.2 |
Total Drug Medicare PaymentAmount |
110023.14 |
Total Drug Medicare Standardized Payment Amount |
110023.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
3090 |
Number Of Medicare Beneficiaries With Medical Services |
705 |
Total Medical Submitted Charge Amount |
339923.85 |
Total Medical Medicare Allowed Amount |
203278.03 |
Total Medical Medicare Payment Amount |
139214.63 |
Total Medical Medicare Standardized Payment Amount |
148874.5 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
229 |
Number Of Beneficiaries Age 75 to 84 |
209 |
Number Of Beneficiaries Age Greater 84 |
129 |
Number Of Female Beneficiaries |
419 |
Number Of Male Beneficiaries |
286 |
Number Of Non Hispanic White Beneficiaries |
672 |
Number Of Black or African American Beneficiaries |
16 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
519 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
186 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2631 |