National Provider Identifier [NPI]: |
1023168622 |
Last Name Of The Provider |
NEPERUD |
First Name Of The Provider |
JULIA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2800 CLAY EDWARDS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
641163220 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
221 |
Number Of Services |
6205 |
Number Of Medicare Beneficiaries |
3782 |
Total Submitted Charge Amount |
795706.02 |
Total Medicare Allowed Amount |
229026.62 |
Total Medicare Payment Amount |
179836.92 |
Total Medicare Standardized Payment Amount |
183379.53 |
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 |
221 |
Number Of Medical Services |
6205 |
Number Of Medicare Beneficiaries With Medical Services |
3782 |
Total Medical Submitted Charge Amount |
795706.02 |
Total Medical Medicare Allowed Amount |
229026.62 |
Total Medical Medicare Payment Amount |
179836.92 |
Total Medical Medicare Standardized Payment Amount |
183379.53 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
679 |
Number Of Beneficiaries Age 65 to 74 |
1408 |
Number Of Beneficiaries Age 75 to 84 |
1111 |
Number Of Beneficiaries Age Greater 84 |
584 |
Number Of Female Beneficiaries |
2299 |
Number Of Male Beneficiaries |
1483 |
Number Of Non Hispanic White Beneficiaries |
3446 |
Number Of Black or African American Beneficiaries |
158 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
120 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
3168 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
614 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5926 |