National Provider Identifier [NPI]: |
1548297955 |
Last Name Of The Provider |
SIMMS |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3600 E HARRY ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672183713 |
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 |
158 |
Number Of Services |
24435 |
Number Of Medicare Beneficiaries |
2536 |
Total Submitted Charge Amount |
1361531.5 |
Total Medicare Allowed Amount |
350859.16 |
Total Medicare Payment Amount |
261565.09 |
Total Medicare Standardized Payment Amount |
292010.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
20300 |
Number Of Medicare Beneficiaries With Drug Services |
294 |
Total Drug Submitted ChargeAmount |
39072.5 |
Total Drug Medicare AllowedAmount |
4173.83 |
Total Drug Medicare PaymentAmount |
3058.37 |
Total Drug Medicare Standardized Payment Amount |
3058.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
154 |
Number Of Medical Services |
4135 |
Number Of Medicare Beneficiaries With Medical Services |
2535 |
Total Medical Submitted Charge Amount |
1322459 |
Total Medical Medicare Allowed Amount |
346685.33 |
Total Medical Medicare Payment Amount |
258506.72 |
Total Medical Medicare Standardized Payment Amount |
288952.03 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
325 |
Number Of Beneficiaries Age 65 to 74 |
997 |
Number Of Beneficiaries Age 75 to 84 |
820 |
Number Of Beneficiaries Age Greater 84 |
394 |
Number Of Female Beneficiaries |
1599 |
Number Of Male Beneficiaries |
937 |
Number Of Non Hispanic White Beneficiaries |
2279 |
Number Of Black or African American Beneficiaries |
138 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
73 |
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
2243 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
293 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2474 |