National Provider Identifier [NPI]: |
1861481665 |
Last Name Of The Provider |
ARAKELOV |
First Name Of The Provider |
ALEXANDR |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6400 PROSPECT AVE |
Street Address 2 Of The Provider |
SUITE 480 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
641321100 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
4498 |
Number Of Medicare Beneficiaries |
680 |
Total Submitted Charge Amount |
393093 |
Total Medicare Allowed Amount |
209318.59 |
Total Medicare Payment Amount |
159694.76 |
Total Medicare Standardized Payment Amount |
162713.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2667 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
13375 |
Total Drug Medicare AllowedAmount |
9943.55 |
Total Drug Medicare PaymentAmount |
7648.49 |
Total Drug Medicare Standardized Payment Amount |
7648.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
1831 |
Number Of Medicare Beneficiaries With Medical Services |
680 |
Total Medical Submitted Charge Amount |
379718 |
Total Medical Medicare Allowed Amount |
199375.04 |
Total Medical Medicare Payment Amount |
152046.27 |
Total Medical Medicare Standardized Payment Amount |
155064.56 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
150 |
Number Of Beneficiaries Age 65 to 74 |
208 |
Number Of Beneficiaries Age 75 to 84 |
194 |
Number Of Beneficiaries Age Greater 84 |
128 |
Number Of Female Beneficiaries |
337 |
Number Of Male Beneficiaries |
343 |
Number Of Non Hispanic White Beneficiaries |
581 |
Number Of Black or African American Beneficiaries |
68 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
514 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
166 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
3.3832 |