National Provider Identifier [NPI]: |
1811162779 |
Last Name Of The Provider |
DREWRY |
First Name Of The Provider |
DANNEY |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
D.O |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1215 PLEASANT ST |
Street Address 2 Of The Provider |
STE 206 |
City Of The Provider |
DES MOINES |
Zip Code Of The Provider |
503091416 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
3871 |
Number Of Medicare Beneficiaries |
702 |
Total Submitted Charge Amount |
644474 |
Total Medicare Allowed Amount |
268719.7 |
Total Medicare Payment Amount |
200070.64 |
Total Medicare Standardized Payment Amount |
209208.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
59 |
Number Of Medicare Beneficiaries With Drug Services |
47 |
Total Drug Submitted ChargeAmount |
4344 |
Total Drug Medicare AllowedAmount |
1870.03 |
Total Drug Medicare PaymentAmount |
1831.99 |
Total Drug Medicare Standardized Payment Amount |
1831.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
3812 |
Number Of Medicare Beneficiaries With Medical Services |
702 |
Total Medical Submitted Charge Amount |
640130 |
Total Medical Medicare Allowed Amount |
266849.67 |
Total Medical Medicare Payment Amount |
198238.65 |
Total Medical Medicare Standardized Payment Amount |
207376.65 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
193 |
Number Of Beneficiaries Age 75 to 84 |
240 |
Number Of Beneficiaries Age Greater 84 |
206 |
Number Of Female Beneficiaries |
479 |
Number Of Male Beneficiaries |
223 |
Number Of Non Hispanic White Beneficiaries |
635 |
Number Of Black or African American Beneficiaries |
39 |
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 |
448 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
254 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
48 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.0278 |