National Provider Identifier [NPI]: |
1649489287 |
Last Name Of The Provider |
CUEVAS |
First Name Of The Provider |
TRACI |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1500 SW 10TH AVE |
Street Address 2 Of The Provider |
HOSPITALIST |
City Of The Provider |
TOPEKA |
Zip Code Of The Provider |
666041301 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
2780 |
Number Of Medicare Beneficiaries |
855 |
Total Submitted Charge Amount |
510935.75 |
Total Medicare Allowed Amount |
314863.35 |
Total Medicare Payment Amount |
242395.23 |
Total Medicare Standardized Payment Amount |
254389.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
2780 |
Number Of Medicare Beneficiaries With Medical Services |
855 |
Total Medical Submitted Charge Amount |
510935.75 |
Total Medical Medicare Allowed Amount |
314863.35 |
Total Medical Medicare Payment Amount |
242395.23 |
Total Medical Medicare Standardized Payment Amount |
254389.54 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
186 |
Number Of Beneficiaries Age 65 to 74 |
246 |
Number Of Beneficiaries Age 75 to 84 |
253 |
Number Of Beneficiaries Age Greater 84 |
170 |
Number Of Female Beneficiaries |
470 |
Number Of Male Beneficiaries |
385 |
Number Of Non Hispanic White Beneficiaries |
758 |
Number Of Black or African American Beneficiaries |
57 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
609 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
246 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
49 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.1532 |