National Provider Identifier [NPI]: |
1710979950 |
Last Name Of The Provider |
DENNEY |
First Name Of The Provider |
SEAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3219 CENTRAL AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
KEARNEY |
Zip Code Of The Provider |
688472949 |
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 |
147 |
Number Of Services |
13536 |
Number Of Medicare Beneficiaries |
2150 |
Total Submitted Charge Amount |
2716713 |
Total Medicare Allowed Amount |
827199.16 |
Total Medicare Payment Amount |
614077.37 |
Total Medicare Standardized Payment Amount |
655498.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
555 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
37832 |
Total Drug Medicare AllowedAmount |
18588.14 |
Total Drug Medicare PaymentAmount |
14327.47 |
Total Drug Medicare Standardized Payment Amount |
14327.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
142 |
Number Of Medical Services |
12981 |
Number Of Medicare Beneficiaries With Medical Services |
2150 |
Total Medical Submitted Charge Amount |
2678881 |
Total Medical Medicare Allowed Amount |
808611.02 |
Total Medical Medicare Payment Amount |
599749.9 |
Total Medical Medicare Standardized Payment Amount |
641170.66 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
735 |
Number Of Beneficiaries Age 75 to 84 |
808 |
Number Of Beneficiaries Age Greater 84 |
469 |
Number Of Female Beneficiaries |
1096 |
Number Of Male Beneficiaries |
1054 |
Number Of Non Hispanic White Beneficiaries |
2096 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1902 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
248 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3133 |