National Provider Identifier [NPI]: |
1821059825 |
Last Name Of The Provider |
HON |
First Name Of The Provider |
SARAH |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2790 CLAY EDWARDS DR |
Street Address 2 Of The Provider |
SUITE 500 |
City Of The Provider |
NORTH KANSAS CITY |
Zip Code Of The Provider |
641163276 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
8454 |
Number Of Medicare Beneficiaries |
836 |
Total Submitted Charge Amount |
378052 |
Total Medicare Allowed Amount |
212886.95 |
Total Medicare Payment Amount |
157816.64 |
Total Medicare Standardized Payment Amount |
155473.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
6600 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
64900 |
Total Drug Medicare AllowedAmount |
36448.07 |
Total Drug Medicare PaymentAmount |
28575.33 |
Total Drug Medicare Standardized Payment Amount |
28575.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
1854 |
Number Of Medicare Beneficiaries With Medical Services |
836 |
Total Medical Submitted Charge Amount |
313152 |
Total Medical Medicare Allowed Amount |
176438.88 |
Total Medical Medicare Payment Amount |
129241.31 |
Total Medical Medicare Standardized Payment Amount |
126897.93 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
190 |
Number Of Beneficiaries Age 65 to 74 |
307 |
Number Of Beneficiaries Age 75 to 84 |
247 |
Number Of Beneficiaries Age Greater 84 |
92 |
Number Of Female Beneficiaries |
502 |
Number Of Male Beneficiaries |
334 |
Number Of Non Hispanic White Beneficiaries |
775 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
700 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
136 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.412 |