National Provider Identifier [NPI]: |
1730169053 |
Last Name Of The Provider |
SHER |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4801 MAIN ST |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
641122929 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
139 |
Number Of Services |
11468 |
Number Of Medicare Beneficiaries |
1396 |
Total Submitted Charge Amount |
1078812 |
Total Medicare Allowed Amount |
335317.36 |
Total Medicare Payment Amount |
258476.82 |
Total Medicare Standardized Payment Amount |
278509.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
9427 |
Number Of Medicare Beneficiaries With Drug Services |
116 |
Total Drug Submitted ChargeAmount |
38670 |
Total Drug Medicare AllowedAmount |
2204.7 |
Total Drug Medicare PaymentAmount |
1604.34 |
Total Drug Medicare Standardized Payment Amount |
1604.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
134 |
Number Of Medical Services |
2041 |
Number Of Medicare Beneficiaries With Medical Services |
1396 |
Total Medical Submitted Charge Amount |
1040142 |
Total Medical Medicare Allowed Amount |
333112.66 |
Total Medical Medicare Payment Amount |
256872.48 |
Total Medical Medicare Standardized Payment Amount |
276905.25 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
184 |
Number Of Beneficiaries Age 65 to 74 |
778 |
Number Of Beneficiaries Age 75 to 84 |
339 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
894 |
Number Of Male Beneficiaries |
502 |
Number Of Non Hispanic White Beneficiaries |
1274 |
Number Of Black or African American Beneficiaries |
83 |
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 |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1355 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9001 |