National Provider Identifier [NPI]: |
1427056852 |
Last Name Of The Provider |
HEMANN |
First Name Of The Provider |
LAURA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1948 1ST AVE NE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CEDAR RAPIDS |
Zip Code Of The Provider |
524025321 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
133 |
Number Of Services |
5860 |
Number Of Medicare Beneficiaries |
3342 |
Total Submitted Charge Amount |
465419 |
Total Medicare Allowed Amount |
146416.59 |
Total Medicare Payment Amount |
126187.61 |
Total Medicare Standardized Payment Amount |
134183.61 |
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 |
133 |
Number Of Medical Services |
5860 |
Number Of Medicare Beneficiaries With Medical Services |
3342 |
Total Medical Submitted Charge Amount |
465419 |
Total Medical Medicare Allowed Amount |
146416.59 |
Total Medical Medicare Payment Amount |
126187.61 |
Total Medical Medicare Standardized Payment Amount |
134183.61 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
410 |
Number Of Beneficiaries Age 65 to 74 |
1527 |
Number Of Beneficiaries Age 75 to 84 |
1014 |
Number Of Beneficiaries Age Greater 84 |
391 |
Number Of Female Beneficiaries |
2800 |
Number Of Male Beneficiaries |
542 |
Number Of Non Hispanic White Beneficiaries |
3215 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
2809 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
533 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.088 |