National Provider Identifier [NPI]: |
1841248200 |
Last Name Of The Provider |
SHELDON |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1303 SW FIRST AMERICAN PL |
Street Address 2 Of The Provider |
|
City Of The Provider |
TOPEKA |
Zip Code Of The Provider |
666044059 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
208 |
Number Of Services |
6694 |
Number Of Medicare Beneficiaries |
4727 |
Total Submitted Charge Amount |
883338 |
Total Medicare Allowed Amount |
233554.73 |
Total Medicare Payment Amount |
183033.03 |
Total Medicare Standardized Payment Amount |
194625.81 |
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 |
208 |
Number Of Medical Services |
6694 |
Number Of Medicare Beneficiaries With Medical Services |
4727 |
Total Medical Submitted Charge Amount |
883338 |
Total Medical Medicare Allowed Amount |
233554.73 |
Total Medical Medicare Payment Amount |
183033.03 |
Total Medical Medicare Standardized Payment Amount |
194625.81 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
888 |
Number Of Beneficiaries Age 65 to 74 |
1626 |
Number Of Beneficiaries Age 75 to 84 |
1387 |
Number Of Beneficiaries Age Greater 84 |
826 |
Number Of Female Beneficiaries |
2952 |
Number Of Male Beneficiaries |
1775 |
Number Of Non Hispanic White Beneficiaries |
4175 |
Number Of Black or African American Beneficiaries |
266 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
154 |
Number Of American Indian Alaska Native Beneficiaries |
68 |
Number Of Beneficiaries With Race Not Else where Classified |
43 |
Number Of Beneficiaries With Medicare Only Entitlement |
3737 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
990 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4455 |