National Provider Identifier [NPI]: |
1255368544 |
Last Name Of The Provider |
FITZSIMMONS |
First Name Of The Provider |
CURTIS |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4320 WORNALL RD |
Street Address 2 Of The Provider |
SUITE 440 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
641115941 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
24597 |
Number Of Medicare Beneficiaries |
515 |
Total Submitted Charge Amount |
1716084.5 |
Total Medicare Allowed Amount |
515036.13 |
Total Medicare Payment Amount |
400242.21 |
Total Medicare Standardized Payment Amount |
401688.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
22005 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
1249127.5 |
Total Drug Medicare AllowedAmount |
327907.24 |
Total Drug Medicare PaymentAmount |
255943.04 |
Total Drug Medicare Standardized Payment Amount |
255943.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
2592 |
Number Of Medicare Beneficiaries With Medical Services |
515 |
Total Medical Submitted Charge Amount |
466957 |
Total Medical Medicare Allowed Amount |
187128.89 |
Total Medical Medicare Payment Amount |
144299.17 |
Total Medical Medicare Standardized Payment Amount |
145745.61 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
181 |
Number Of Beneficiaries Age 65 to 74 |
169 |
Number Of Beneficiaries Age 75 to 84 |
119 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
226 |
Number Of Male Beneficiaries |
289 |
Number Of Non Hispanic White Beneficiaries |
401 |
Number Of Black or African American Beneficiaries |
92 |
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 |
353 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
162 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
64 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.965 |