National Provider Identifier [NPI]: |
1598824963 |
Last Name Of The Provider |
MARKESE |
First Name Of The Provider |
SABRINA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8101 PARALLEL PKWY |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
661122010 |
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 |
39 |
Number Of Services |
989 |
Number Of Medicare Beneficiaries |
241 |
Total Submitted Charge Amount |
84850 |
Total Medicare Allowed Amount |
59924.13 |
Total Medicare Payment Amount |
37615.12 |
Total Medicare Standardized Payment Amount |
41333.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
240 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
3845 |
Total Drug Medicare AllowedAmount |
3005.54 |
Total Drug Medicare PaymentAmount |
2419.96 |
Total Drug Medicare Standardized Payment Amount |
2419.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
749 |
Number Of Medicare Beneficiaries With Medical Services |
241 |
Total Medical Submitted Charge Amount |
81005 |
Total Medical Medicare Allowed Amount |
56918.59 |
Total Medical Medicare Payment Amount |
35195.16 |
Total Medical Medicare Standardized Payment Amount |
38913.74 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
88 |
Number Of Beneficiaries Age 75 to 84 |
40 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
180 |
Number Of Male Beneficiaries |
61 |
Number Of Non Hispanic White Beneficiaries |
147 |
Number Of Black or African American Beneficiaries |
78 |
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 |
169 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
72 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1599 |