National Provider Identifier [NPI]: |
1801846910 |
Last Name Of The Provider |
AUSTENFELD |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4321 WASHINGTON ST |
Street Address 2 Of The Provider |
SUITE 5300 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
641115961 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
11584 |
Number Of Medicare Beneficiaries |
1603 |
Total Submitted Charge Amount |
1333274 |
Total Medicare Allowed Amount |
565948.3 |
Total Medicare Payment Amount |
425664.19 |
Total Medicare Standardized Payment Amount |
437962.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
5526 |
Number Of Medicare Beneficiaries With Drug Services |
131 |
Total Drug Submitted ChargeAmount |
425894 |
Total Drug Medicare AllowedAmount |
160201.24 |
Total Drug Medicare PaymentAmount |
125213.68 |
Total Drug Medicare Standardized Payment Amount |
125213.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
102 |
Number Of Medical Services |
6058 |
Number Of Medicare Beneficiaries With Medical Services |
1603 |
Total Medical Submitted Charge Amount |
907380 |
Total Medical Medicare Allowed Amount |
405747.06 |
Total Medical Medicare Payment Amount |
300450.51 |
Total Medical Medicare Standardized Payment Amount |
312748.76 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
635 |
Number Of Beneficiaries Age 75 to 84 |
626 |
Number Of Beneficiaries Age Greater 84 |
269 |
Number Of Female Beneficiaries |
250 |
Number Of Male Beneficiaries |
1353 |
Number Of Non Hispanic White Beneficiaries |
1459 |
Number Of Black or African American Beneficiaries |
73 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1539 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
64 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
33 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1613 |