National Provider Identifier [NPI]: |
1598701922 |
Last Name Of The Provider |
LIPMAN |
First Name Of The Provider |
RANDEE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1515 S CLIFTON AVE |
Street Address 2 Of The Provider |
STE 320 |
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672182900 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
10417.7 |
Number Of Medicare Beneficiaries |
1895 |
Total Submitted Charge Amount |
1520372.72 |
Total Medicare Allowed Amount |
489394.1 |
Total Medicare Payment Amount |
366338.82 |
Total Medicare Standardized Payment Amount |
390635.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
4450.7 |
Number Of Medicare Beneficiaries With Drug Services |
234 |
Total Drug Submitted ChargeAmount |
56490.8 |
Total Drug Medicare AllowedAmount |
22348.54 |
Total Drug Medicare PaymentAmount |
17085.43 |
Total Drug Medicare Standardized Payment Amount |
17085.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
5967 |
Number Of Medicare Beneficiaries With Medical Services |
1895 |
Total Medical Submitted Charge Amount |
1463881.92 |
Total Medical Medicare Allowed Amount |
467045.56 |
Total Medical Medicare Payment Amount |
349253.39 |
Total Medical Medicare Standardized Payment Amount |
373549.72 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
264 |
Number Of Beneficiaries Age 65 to 74 |
593 |
Number Of Beneficiaries Age 75 to 84 |
675 |
Number Of Beneficiaries Age Greater 84 |
363 |
Number Of Female Beneficiaries |
1058 |
Number Of Male Beneficiaries |
837 |
Number Of Non Hispanic White Beneficiaries |
1703 |
Number Of Black or African American Beneficiaries |
99 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
57 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1511 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
384 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.723 |