National Provider Identifier [NPI]: |
1457328908 |
Last Name Of The Provider |
NEUFELD |
First Name Of The Provider |
TIMOTHY |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6530 TROOST |
Street Address 2 Of The Provider |
STE A |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
64131 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
4022 |
Number Of Medicare Beneficiaries |
596 |
Total Submitted Charge Amount |
1167212.39 |
Total Medicare Allowed Amount |
665548.06 |
Total Medicare Payment Amount |
510000.61 |
Total Medicare Standardized Payment Amount |
533749.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1785 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
33913.56 |
Total Drug Medicare AllowedAmount |
20502.98 |
Total Drug Medicare PaymentAmount |
15643.3 |
Total Drug Medicare Standardized Payment Amount |
15643.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
2237 |
Number Of Medicare Beneficiaries With Medical Services |
596 |
Total Medical Submitted Charge Amount |
1133298.83 |
Total Medical Medicare Allowed Amount |
645045.08 |
Total Medical Medicare Payment Amount |
494357.31 |
Total Medical Medicare Standardized Payment Amount |
518105.74 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
175 |
Number Of Beneficiaries Age 65 to 74 |
190 |
Number Of Beneficiaries Age 75 to 84 |
144 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
278 |
Number Of Male Beneficiaries |
318 |
Number Of Non Hispanic White Beneficiaries |
340 |
Number Of Black or African American Beneficiaries |
230 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
445 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
151 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
4.3817 |