National Provider Identifier [NPI]: |
1164537346 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9100 W 74TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SHAWNEE MISSION |
Zip Code Of The Provider |
662044004 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
150 |
Number Of Services |
5282 |
Number Of Medicare Beneficiaries |
2360 |
Total Submitted Charge Amount |
515795.16 |
Total Medicare Allowed Amount |
144876.04 |
Total Medicare Payment Amount |
114812.25 |
Total Medicare Standardized Payment Amount |
122297.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1592 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
2974 |
Total Drug Medicare AllowedAmount |
527.5 |
Total Drug Medicare PaymentAmount |
413.52 |
Total Drug Medicare Standardized Payment Amount |
413.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
146 |
Number Of Medical Services |
3690 |
Number Of Medicare Beneficiaries With Medical Services |
2360 |
Total Medical Submitted Charge Amount |
512821.16 |
Total Medical Medicare Allowed Amount |
144348.54 |
Total Medical Medicare Payment Amount |
114398.73 |
Total Medical Medicare Standardized Payment Amount |
121883.65 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
340 |
Number Of Beneficiaries Age 65 to 74 |
930 |
Number Of Beneficiaries Age 75 to 84 |
659 |
Number Of Beneficiaries Age Greater 84 |
431 |
Number Of Female Beneficiaries |
1592 |
Number Of Male Beneficiaries |
768 |
Number Of Non Hispanic White Beneficiaries |
2095 |
Number Of Black or African American Beneficiaries |
127 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
70 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
2012 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
348 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4227 |