National Provider Identifier [NPI]: |
1245262435 |
Last Name Of The Provider |
WILLINGHAM |
First Name Of The Provider |
KATHERINE |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
901 SW GARFIELD AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
TOPEKA |
Zip Code Of The Provider |
666061670 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
4385 |
Number Of Medicare Beneficiaries |
566 |
Total Submitted Charge Amount |
276123.42 |
Total Medicare Allowed Amount |
181577.37 |
Total Medicare Payment Amount |
138779.76 |
Total Medicare Standardized Payment Amount |
146129.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1809 |
Number Of Medicare Beneficiaries With Drug Services |
293 |
Total Drug Submitted ChargeAmount |
49225.5 |
Total Drug Medicare AllowedAmount |
44874.06 |
Total Drug Medicare PaymentAmount |
39945.88 |
Total Drug Medicare Standardized Payment Amount |
39945.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
2576 |
Number Of Medicare Beneficiaries With Medical Services |
566 |
Total Medical Submitted Charge Amount |
226897.92 |
Total Medical Medicare Allowed Amount |
136703.31 |
Total Medical Medicare Payment Amount |
98833.88 |
Total Medical Medicare Standardized Payment Amount |
106184.09 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
245 |
Number Of Beneficiaries Age 75 to 84 |
194 |
Number Of Beneficiaries Age Greater 84 |
75 |
Number Of Female Beneficiaries |
445 |
Number Of Male Beneficiaries |
121 |
Number Of Non Hispanic White Beneficiaries |
507 |
Number Of Black or African American Beneficiaries |
38 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
523 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.9839 |