National Provider Identifier [NPI]: |
1861450033 |
Last Name Of The Provider |
DEEDY |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4330 WORNALL RD |
Street Address 2 Of The Provider |
SUITE 2000 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
641115939 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
3695 |
Number Of Medicare Beneficiaries |
1806 |
Total Submitted Charge Amount |
645383.28 |
Total Medicare Allowed Amount |
232077.17 |
Total Medicare Payment Amount |
168993.41 |
Total Medicare Standardized Payment Amount |
173581.76 |
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 |
50 |
Number Of Medical Services |
3695 |
Number Of Medicare Beneficiaries With Medical Services |
1806 |
Total Medical Submitted Charge Amount |
645383.28 |
Total Medical Medicare Allowed Amount |
232077.17 |
Total Medical Medicare Payment Amount |
168993.41 |
Total Medical Medicare Standardized Payment Amount |
173581.76 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
208 |
Number Of Beneficiaries Age 65 to 74 |
603 |
Number Of Beneficiaries Age 75 to 84 |
624 |
Number Of Beneficiaries Age Greater 84 |
371 |
Number Of Female Beneficiaries |
909 |
Number Of Male Beneficiaries |
897 |
Number Of Non Hispanic White Beneficiaries |
1670 |
Number Of Black or African American Beneficiaries |
100 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1604 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
202 |
Percent Of With Atrial Fibrillation |
36 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6268 |