National Provider Identifier [NPI]: |
1790769685 |
Last Name Of The Provider |
POLLAK |
First Name Of The Provider |
ARNOLD |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2521 GLENN HENDREN DR |
Street Address 2 Of The Provider |
SUITE 306 |
City Of The Provider |
LIBERTY |
Zip Code Of The Provider |
640683388 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
6015 |
Number Of Medicare Beneficiaries |
1723 |
Total Submitted Charge Amount |
1116225 |
Total Medicare Allowed Amount |
513800.03 |
Total Medicare Payment Amount |
389602.28 |
Total Medicare Standardized Payment Amount |
400617.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
726 |
Number Of Medicare Beneficiaries With Drug Services |
192 |
Total Drug Submitted ChargeAmount |
78891 |
Total Drug Medicare AllowedAmount |
38471.18 |
Total Drug Medicare PaymentAmount |
30043.76 |
Total Drug Medicare Standardized Payment Amount |
30043.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
5289 |
Number Of Medicare Beneficiaries With Medical Services |
1723 |
Total Medical Submitted Charge Amount |
1037334 |
Total Medical Medicare Allowed Amount |
475328.85 |
Total Medical Medicare Payment Amount |
359558.52 |
Total Medical Medicare Standardized Payment Amount |
370573.61 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
215 |
Number Of Beneficiaries Age 65 to 74 |
646 |
Number Of Beneficiaries Age 75 to 84 |
555 |
Number Of Beneficiaries Age Greater 84 |
307 |
Number Of Female Beneficiaries |
942 |
Number Of Male Beneficiaries |
781 |
Number Of Non Hispanic White Beneficiaries |
1684 |
Number Of Black or African American Beneficiaries |
|
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 |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1477 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
246 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.4394 |