National Provider Identifier [NPI]: |
1558327593 |
Last Name Of The Provider |
DELGADO |
First Name Of The Provider |
PABLO |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4401 WORNALL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
641113220 |
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 |
149 |
Number Of Services |
4420 |
Number Of Medicare Beneficiaries |
2881 |
Total Submitted Charge Amount |
656676 |
Total Medicare Allowed Amount |
191289.58 |
Total Medicare Payment Amount |
141046.17 |
Total Medicare Standardized Payment Amount |
143605.39 |
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 |
149 |
Number Of Medical Services |
4420 |
Number Of Medicare Beneficiaries With Medical Services |
2881 |
Total Medical Submitted Charge Amount |
656676 |
Total Medical Medicare Allowed Amount |
191289.58 |
Total Medical Medicare Payment Amount |
141046.17 |
Total Medical Medicare Standardized Payment Amount |
143605.39 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
564 |
Number Of Beneficiaries Age 65 to 74 |
1027 |
Number Of Beneficiaries Age 75 to 84 |
812 |
Number Of Beneficiaries Age Greater 84 |
478 |
Number Of Female Beneficiaries |
1643 |
Number Of Male Beneficiaries |
1238 |
Number Of Non Hispanic White Beneficiaries |
2530 |
Number Of Black or African American Beneficiaries |
265 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
54 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
2381 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
500 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8004 |