Medicare Facts for Dr. Susan M. Kennedy, DO


National Provider Identifier [NPI]: 1720095276
Last Name Of The Provider KENNEDY
First Name Of The Provider SUSAN
Middle Initial Of The Provider
Credentials Of The Provider DO
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 411 LAUREL ST
Street Address 2 Of The Provider SUITE A120
City Of The Provider DES MOINES
Zip Code Of The Provider 503143017
State Code Of The Provider IA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 66
Number Of Services 2402
Number Of Medicare Beneficiaries 357
Total Submitted Charge Amount 170205
Total Medicare Allowed Amount 81803.93
Total Medicare Payment Amount 55514.97
Total Medicare Standardized Payment Amount 61137.33
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 13
Number Of Drug Services 184
Number Of Medicare Beneficiaries With Drug Services 76
Total Drug Submitted ChargeAmount 2767
Total Drug Medicare AllowedAmount 1839.55
Total Drug Medicare PaymentAmount 1706.55
Total Drug Medicare Standardized Payment Amount 1706.55
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 53
Number Of Medical Services 2218
Number Of Medicare Beneficiaries With Medical Services 357
Total Medical Submitted Charge Amount 167438
Total Medical Medicare Allowed Amount 79964.38
Total Medical Medicare Payment Amount 53808.42
Total Medical Medicare Standardized Payment Amount 59430.78
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65 110
Number Of Beneficiaries Age 65 to 74 146
Number Of Beneficiaries Age 75 to 84 64
Number Of Beneficiaries Age Greater 84 37
Number Of Female Beneficiaries 273
Number Of Male Beneficiaries 84
Number Of Non Hispanic White Beneficiaries 281
Number Of Black or African American Beneficiaries 29
Number Of AsianPacific Islander Beneficiaries 26
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 227
Number Of Beneficiaries With Medicare Medicaid Entitlement 130
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 7
Percent Of With Cancer 7
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 22
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 50
Percent Of With Hypertension 59
Percent Of With Ischemic Heart Disease 23
Percent Of With Osteoporosis 4
Percent Of With Rheumatoid Arthritis Osteoarthritis 32
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0184

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