National Provider Identifier [NPI]: |
1821214560 |
Last Name Of The Provider |
HARTING |
First Name Of The Provider |
JANEL |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
848 N SAINT FRANCIS ST |
Street Address 2 Of The Provider |
STE. 2945 |
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672143800 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
3100 |
Number Of Medicare Beneficiaries |
820 |
Total Submitted Charge Amount |
793934.96 |
Total Medicare Allowed Amount |
254179.25 |
Total Medicare Payment Amount |
193993.26 |
Total Medicare Standardized Payment Amount |
203875.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
40 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
1461.5 |
Total Drug Medicare AllowedAmount |
901.59 |
Total Drug Medicare PaymentAmount |
853.04 |
Total Drug Medicare Standardized Payment Amount |
853.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
3060 |
Number Of Medicare Beneficiaries With Medical Services |
820 |
Total Medical Submitted Charge Amount |
792473.46 |
Total Medical Medicare Allowed Amount |
253277.66 |
Total Medical Medicare Payment Amount |
193140.22 |
Total Medical Medicare Standardized Payment Amount |
203022.26 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
167 |
Number Of Beneficiaries Age 65 to 74 |
295 |
Number Of Beneficiaries Age 75 to 84 |
256 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
430 |
Number Of Male Beneficiaries |
390 |
Number Of Non Hispanic White Beneficiaries |
732 |
Number Of Black or African American Beneficiaries |
40 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
603 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
217 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
59 |
Percent Of With Chronic Kidney Disease |
56 |
Percent Of With Chronic Obstructive Pulmonary Disease |
64 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.4386 |