National Provider Identifier [NPI]: |
1417929241 |
Last Name Of The Provider |
FLETCHER |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1010 CARONDELET DR |
Street Address 2 Of The Provider |
SUITE 340 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
641144859 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
5931 |
Number Of Medicare Beneficiaries |
693 |
Total Submitted Charge Amount |
1149981.72 |
Total Medicare Allowed Amount |
787116.95 |
Total Medicare Payment Amount |
592641.17 |
Total Medicare Standardized Payment Amount |
605544.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
302 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
258627.96 |
Total Drug Medicare AllowedAmount |
243093.14 |
Total Drug Medicare PaymentAmount |
190138.89 |
Total Drug Medicare Standardized Payment Amount |
190138.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
5629 |
Number Of Medicare Beneficiaries With Medical Services |
692 |
Total Medical Submitted Charge Amount |
891353.76 |
Total Medical Medicare Allowed Amount |
544023.81 |
Total Medical Medicare Payment Amount |
402502.28 |
Total Medical Medicare Standardized Payment Amount |
415405.98 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
263 |
Number Of Beneficiaries Age 75 to 84 |
215 |
Number Of Beneficiaries Age Greater 84 |
169 |
Number Of Female Beneficiaries |
403 |
Number Of Male Beneficiaries |
290 |
Number Of Non Hispanic White Beneficiaries |
610 |
Number Of Black or African American Beneficiaries |
59 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
642 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
51 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2021 |