National Provider Identifier [NPI]: |
1821067422 |
Last Name Of The Provider |
KUNZ |
First Name Of The Provider |
STEPHEN |
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 |
19609 E 9TH ST S |
Street Address 2 Of The Provider |
|
City Of The Provider |
INDEPENDENCE |
Zip Code Of The Provider |
640563088 |
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 |
130 |
Number Of Services |
6207 |
Number Of Medicare Beneficiaries |
1427 |
Total Submitted Charge Amount |
465880 |
Total Medicare Allowed Amount |
214777.21 |
Total Medicare Payment Amount |
177060.83 |
Total Medicare Standardized Payment Amount |
185895.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
3511 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
7977 |
Total Drug Medicare AllowedAmount |
1232.13 |
Total Drug Medicare PaymentAmount |
952.44 |
Total Drug Medicare Standardized Payment Amount |
952.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
127 |
Number Of Medical Services |
2696 |
Number Of Medicare Beneficiaries With Medical Services |
1427 |
Total Medical Submitted Charge Amount |
457903 |
Total Medical Medicare Allowed Amount |
213545.08 |
Total Medical Medicare Payment Amount |
176108.39 |
Total Medical Medicare Standardized Payment Amount |
184943.38 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
173 |
Number Of Beneficiaries Age 65 to 74 |
778 |
Number Of Beneficiaries Age 75 to 84 |
368 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
1099 |
Number Of Male Beneficiaries |
328 |
Number Of Non Hispanic White Beneficiaries |
1178 |
Number Of Black or African American Beneficiaries |
193 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
1347 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
80 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9974 |