National Provider Identifier [NPI]: |
1528037595 |
Last Name Of The Provider |
HURTIG |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
929 SW MULVANE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
TOPEKA |
Zip Code Of The Provider |
666061677 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
103 |
Number Of Services |
8444 |
Number Of Medicare Beneficiaries |
2789 |
Total Submitted Charge Amount |
1049119.59 |
Total Medicare Allowed Amount |
377172.46 |
Total Medicare Payment Amount |
274062.4 |
Total Medicare Standardized Payment Amount |
291003.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
72 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
3144.75 |
Total Drug Medicare AllowedAmount |
1883.66 |
Total Drug Medicare PaymentAmount |
1588.19 |
Total Drug Medicare Standardized Payment Amount |
1588.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
8372 |
Number Of Medicare Beneficiaries With Medical Services |
2789 |
Total Medical Submitted Charge Amount |
1045974.84 |
Total Medical Medicare Allowed Amount |
375288.8 |
Total Medical Medicare Payment Amount |
272474.21 |
Total Medical Medicare Standardized Payment Amount |
289414.84 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
265 |
Number Of Beneficiaries Age 65 to 74 |
856 |
Number Of Beneficiaries Age 75 to 84 |
1077 |
Number Of Beneficiaries Age Greater 84 |
591 |
Number Of Female Beneficiaries |
1360 |
Number Of Male Beneficiaries |
1429 |
Number Of Non Hispanic White Beneficiaries |
2561 |
Number Of Black or African American Beneficiaries |
124 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
56 |
Number Of American Indian Alaska Native Beneficiaries |
22 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
2493 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
296 |
Percent Of With Atrial Fibrillation |
46 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5136 |