National Provider Identifier [NPI]: |
1336268648 |
Last Name Of The Provider |
ANWURI |
First Name Of The Provider |
VERONICA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
20 NE SAINT LUKES BLVD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
LEES SUMMIT |
Zip Code Of The Provider |
640866001 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
1926 |
Number Of Medicare Beneficiaries |
368 |
Total Submitted Charge Amount |
213184 |
Total Medicare Allowed Amount |
106454.62 |
Total Medicare Payment Amount |
76156.67 |
Total Medicare Standardized Payment Amount |
78228.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
215 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
5539 |
Total Drug Medicare AllowedAmount |
4225.89 |
Total Drug Medicare PaymentAmount |
3786.97 |
Total Drug Medicare Standardized Payment Amount |
3786.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
1711 |
Number Of Medicare Beneficiaries With Medical Services |
368 |
Total Medical Submitted Charge Amount |
207645 |
Total Medical Medicare Allowed Amount |
102228.73 |
Total Medical Medicare Payment Amount |
72369.7 |
Total Medical Medicare Standardized Payment Amount |
74441.4 |
Average Age Of Beneficiaries |
62 |
Number Of Beneficiaries Age Less65 |
175 |
Number Of Beneficiaries Age 65 to 74 |
123 |
Number Of Beneficiaries Age 75 to 84 |
46 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
274 |
Number Of Male Beneficiaries |
94 |
Number Of Non Hispanic White Beneficiaries |
299 |
Number Of Black or African American Beneficiaries |
52 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
207 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
161 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
43 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1164 |