National Provider Identifier [NPI]: |
1386642122 |
Last Name Of The Provider |
SWIFT |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
729 N CUSTER AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
GRAND ISLAND |
Zip Code Of The Provider |
688034311 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
115 |
Number Of Services |
39162 |
Number Of Medicare Beneficiaries |
1078 |
Total Submitted Charge Amount |
1380324 |
Total Medicare Allowed Amount |
704046.03 |
Total Medicare Payment Amount |
540140.72 |
Total Medicare Standardized Payment Amount |
551936.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
21 |
Number Of Drug Services |
32178 |
Number Of Medicare Beneficiaries With Drug Services |
371 |
Total Drug Submitted ChargeAmount |
764947 |
Total Drug Medicare AllowedAmount |
462078.94 |
Total Drug Medicare PaymentAmount |
361471.15 |
Total Drug Medicare Standardized Payment Amount |
361471.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
94 |
Number Of Medical Services |
6984 |
Number Of Medicare Beneficiaries With Medical Services |
1078 |
Total Medical Submitted Charge Amount |
615377 |
Total Medical Medicare Allowed Amount |
241967.09 |
Total Medical Medicare Payment Amount |
178669.57 |
Total Medical Medicare Standardized Payment Amount |
190464.89 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
174 |
Number Of Beneficiaries Age 65 to 74 |
488 |
Number Of Beneficiaries Age 75 to 84 |
310 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
845 |
Number Of Male Beneficiaries |
233 |
Number Of Non Hispanic White Beneficiaries |
1029 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
919 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
159 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
22 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1027 |