National Provider Identifier [NPI]: |
1629020094 |
Last Name Of The Provider |
DAY |
First Name Of The Provider |
HOWARD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
818 N EMPORIA ST |
Street Address 2 Of The Provider |
SUITE 310 |
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672143729 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
25479 |
Number Of Medicare Beneficiaries |
335 |
Total Submitted Charge Amount |
3419619.4 |
Total Medicare Allowed Amount |
894466.39 |
Total Medicare Payment Amount |
691584.58 |
Total Medicare Standardized Payment Amount |
758284.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
23239 |
Number Of Medicare Beneficiaries With Drug Services |
252 |
Total Drug Submitted ChargeAmount |
58052.4 |
Total Drug Medicare AllowedAmount |
5570.82 |
Total Drug Medicare PaymentAmount |
4335.99 |
Total Drug Medicare Standardized Payment Amount |
4335.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
2240 |
Number Of Medicare Beneficiaries With Medical Services |
335 |
Total Medical Submitted Charge Amount |
3361567 |
Total Medical Medicare Allowed Amount |
888895.57 |
Total Medical Medicare Payment Amount |
687248.59 |
Total Medical Medicare Standardized Payment Amount |
753948.04 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
151 |
Number Of Beneficiaries Age 65 to 74 |
97 |
Number Of Beneficiaries Age 75 to 84 |
61 |
Number Of Beneficiaries Age Greater 84 |
26 |
Number Of Female Beneficiaries |
161 |
Number Of Male Beneficiaries |
174 |
Number Of Non Hispanic White Beneficiaries |
195 |
Number Of Black or African American Beneficiaries |
92 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
204 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
68 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
7.6415 |