National Provider Identifier [NPI]: |
1851363725 |
Last Name Of The Provider |
LABRUZZO |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2700 CLAY EDWARDS DR |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
NORTH KANSAS CITY |
Zip Code Of The Provider |
641163251 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
3355 |
Number Of Medicare Beneficiaries |
515 |
Total Submitted Charge Amount |
453166 |
Total Medicare Allowed Amount |
237165.03 |
Total Medicare Payment Amount |
171341.48 |
Total Medicare Standardized Payment Amount |
175680.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
153 |
Number Of Medicare Beneficiaries With Drug Services |
74 |
Total Drug Submitted ChargeAmount |
5157 |
Total Drug Medicare AllowedAmount |
2727.2 |
Total Drug Medicare PaymentAmount |
2602.58 |
Total Drug Medicare Standardized Payment Amount |
2602.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
3202 |
Number Of Medicare Beneficiaries With Medical Services |
515 |
Total Medical Submitted Charge Amount |
448009 |
Total Medical Medicare Allowed Amount |
234437.83 |
Total Medical Medicare Payment Amount |
168738.9 |
Total Medical Medicare Standardized Payment Amount |
173078.27 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
215 |
Number Of Beneficiaries Age 75 to 84 |
154 |
Number Of Beneficiaries Age Greater 84 |
72 |
Number Of Female Beneficiaries |
282 |
Number Of Male Beneficiaries |
233 |
Number Of Non Hispanic White Beneficiaries |
477 |
Number Of Black or African American Beneficiaries |
19 |
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 |
467 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5956 |