National Provider Identifier [NPI]: |
1750343455 |
Last Name Of The Provider |
WARNER |
First Name Of The Provider |
ANN |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4330 WORNALL RD |
Street Address 2 Of The Provider |
MED PLAZA II, 4TH FLOOR |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
641113217 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
99 |
Number Of Services |
91069 |
Number Of Medicare Beneficiaries |
872 |
Total Submitted Charge Amount |
3115181.25 |
Total Medicare Allowed Amount |
1679036.2 |
Total Medicare Payment Amount |
1299294.21 |
Total Medicare Standardized Payment Amount |
1300671.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
20 |
Number Of Drug Services |
78021 |
Number Of Medicare Beneficiaries With Drug Services |
468 |
Total Drug Submitted ChargeAmount |
2458964.7 |
Total Drug Medicare AllowedAmount |
1376372.17 |
Total Drug Medicare PaymentAmount |
1064896.06 |
Total Drug Medicare Standardized Payment Amount |
1064896.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
13048 |
Number Of Medicare Beneficiaries With Medical Services |
872 |
Total Medical Submitted Charge Amount |
656216.55 |
Total Medical Medicare Allowed Amount |
302664.03 |
Total Medical Medicare Payment Amount |
234398.15 |
Total Medical Medicare Standardized Payment Amount |
235774.95 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
129 |
Number Of Beneficiaries Age 65 to 74 |
391 |
Number Of Beneficiaries Age 75 to 84 |
280 |
Number Of Beneficiaries Age Greater 84 |
72 |
Number Of Female Beneficiaries |
671 |
Number Of Male Beneficiaries |
201 |
Number Of Non Hispanic White Beneficiaries |
785 |
Number Of Black or African American Beneficiaries |
64 |
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 |
825 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
74 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2966 |