National Provider Identifier [NPI]: |
1558531079 |
Last Name Of The Provider |
OSHEL |
First Name Of The Provider |
ABBEY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5844 NW BARRY RD |
Street Address 2 Of The Provider |
STE. 110 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
641541465 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
644 |
Number Of Medicare Beneficiaries |
185 |
Total Submitted Charge Amount |
64301 |
Total Medicare Allowed Amount |
31558.72 |
Total Medicare Payment Amount |
21359.66 |
Total Medicare Standardized Payment Amount |
21636.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
32 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
473 |
Total Drug Medicare AllowedAmount |
386.68 |
Total Drug Medicare PaymentAmount |
370.93 |
Total Drug Medicare Standardized Payment Amount |
370.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
612 |
Number Of Medicare Beneficiaries With Medical Services |
185 |
Total Medical Submitted Charge Amount |
63828 |
Total Medical Medicare Allowed Amount |
31172.04 |
Total Medical Medicare Payment Amount |
20988.73 |
Total Medical Medicare Standardized Payment Amount |
21266.03 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
76 |
Number Of Beneficiaries Age 75 to 84 |
40 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
140 |
Number Of Male Beneficiaries |
45 |
Number Of Non Hispanic White Beneficiaries |
159 |
Number Of Black or African American Beneficiaries |
12 |
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 |
147 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.0673 |