National Provider Identifier [NPI]: |
1902977127 |
Last Name Of The Provider |
GIOCONDO |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
J |
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 |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
2571 |
Number Of Medicare Beneficiaries |
1144 |
Total Submitted Charge Amount |
830571 |
Total Medicare Allowed Amount |
296604.49 |
Total Medicare Payment Amount |
220778.36 |
Total Medicare Standardized Payment Amount |
229443.77 |
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 |
79 |
Number Of Medical Services |
2571 |
Number Of Medicare Beneficiaries With Medical Services |
1144 |
Total Medical Submitted Charge Amount |
830571 |
Total Medical Medicare Allowed Amount |
296604.49 |
Total Medical Medicare Payment Amount |
220778.36 |
Total Medical Medicare Standardized Payment Amount |
229443.77 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
111 |
Number Of Beneficiaries Age 65 to 74 |
385 |
Number Of Beneficiaries Age 75 to 84 |
372 |
Number Of Beneficiaries Age Greater 84 |
276 |
Number Of Female Beneficiaries |
531 |
Number Of Male Beneficiaries |
613 |
Number Of Non Hispanic White Beneficiaries |
1056 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1046 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
98 |
Percent Of With Atrial Fibrillation |
51 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6752 |