National Provider Identifier [NPI]: |
1245279652 |
Last Name Of The Provider |
VAYDA |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3600 E HARRY ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672183713 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
2182 |
Number Of Medicare Beneficiaries |
1762 |
Total Submitted Charge Amount |
435709 |
Total Medicare Allowed Amount |
161886.42 |
Total Medicare Payment Amount |
123411.52 |
Total Medicare Standardized Payment Amount |
126810.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
2182 |
Number Of Medicare Beneficiaries With Medical Services |
1762 |
Total Medical Submitted Charge Amount |
435709 |
Total Medical Medicare Allowed Amount |
161886.42 |
Total Medical Medicare Payment Amount |
123411.52 |
Total Medical Medicare Standardized Payment Amount |
126810.05 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
512 |
Number Of Beneficiaries Age 65 to 74 |
446 |
Number Of Beneficiaries Age 75 to 84 |
468 |
Number Of Beneficiaries Age Greater 84 |
336 |
Number Of Female Beneficiaries |
1042 |
Number Of Male Beneficiaries |
720 |
Number Of Non Hispanic White Beneficiaries |
1398 |
Number Of Black or African American Beneficiaries |
225 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
91 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1116 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
646 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.9865 |