National Provider Identifier [NPI]: |
1548264294 |
Last Name Of The Provider |
BROWN |
First Name Of The Provider |
KEVIN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3901 RAINBOW BLVD # MS 4032 |
Street Address 2 Of The Provider |
|
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
661607234 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
129 |
Number Of Services |
6348 |
Number Of Medicare Beneficiaries |
3652 |
Total Submitted Charge Amount |
673209 |
Total Medicare Allowed Amount |
110954.21 |
Total Medicare Payment Amount |
84141.07 |
Total Medicare Standardized Payment Amount |
86391.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
129 |
Number Of Medical Services |
6348 |
Number Of Medicare Beneficiaries With Medical Services |
3652 |
Total Medical Submitted Charge Amount |
673209 |
Total Medical Medicare Allowed Amount |
110954.21 |
Total Medical Medicare Payment Amount |
84141.07 |
Total Medical Medicare Standardized Payment Amount |
86391.65 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
1063 |
Number Of Beneficiaries Age 65 to 74 |
1536 |
Number Of Beneficiaries Age 75 to 84 |
813 |
Number Of Beneficiaries Age Greater 84 |
240 |
Number Of Female Beneficiaries |
2210 |
Number Of Male Beneficiaries |
1442 |
Number Of Non Hispanic White Beneficiaries |
2935 |
Number Of Black or African American Beneficiaries |
500 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
122 |
Number Of American Indian Alaska Native Beneficiaries |
24 |
Number Of Beneficiaries With Race Not Else where Classified |
43 |
Number Of Beneficiaries With Medicare Only Entitlement |
2811 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
841 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7627 |