National Provider Identifier [NPI]: |
1811004088 |
Last Name Of The Provider |
WHITNEY |
First Name Of The Provider |
RYAN |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1600 S 48TH ST |
Street Address 2 Of The Provider |
SUITE 600 |
City Of The Provider |
LINCOLN |
Zip Code Of The Provider |
685061275 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
4569 |
Number Of Medicare Beneficiaries |
2537 |
Total Submitted Charge Amount |
714502 |
Total Medicare Allowed Amount |
309608.82 |
Total Medicare Payment Amount |
234279.29 |
Total Medicare Standardized Payment Amount |
251737.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
4569 |
Number Of Medicare Beneficiaries With Medical Services |
2537 |
Total Medical Submitted Charge Amount |
714502 |
Total Medical Medicare Allowed Amount |
309608.82 |
Total Medical Medicare Payment Amount |
234279.29 |
Total Medical Medicare Standardized Payment Amount |
251737.38 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
265 |
Number Of Beneficiaries Age 65 to 74 |
881 |
Number Of Beneficiaries Age 75 to 84 |
904 |
Number Of Beneficiaries Age Greater 84 |
487 |
Number Of Female Beneficiaries |
1270 |
Number Of Male Beneficiaries |
1267 |
Number Of Non Hispanic White Beneficiaries |
2417 |
Number Of Black or African American Beneficiaries |
35 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
12 |
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
2087 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
450 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4774 |