| National Provider Identifier [NPI]: | 1083619076 |
| Last Name Of The Provider | SPITTLER |
| First Name Of The Provider | LEO |
| 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 | 3500 S 4TH ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | LEAVENWORTH |
| Zip Code Of The Provider | 660485043 |
| 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 | 190 |
| Number Of Services | 7071 |
| Number Of Medicare Beneficiaries | 4170 |
| Total Submitted Charge Amount | 570349 |
| Total Medicare Allowed Amount | 187781.28 |
| Total Medicare Payment Amount | 140308.02 |
| Total Medicare Standardized Payment Amount | 146560.99 |
| 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 | 190 |
| Number Of Medical Services | 7071 |
| Number Of Medicare Beneficiaries With Medical Services | 4170 |
| Total Medical Submitted Charge Amount | 570349 |
| Total Medical Medicare Allowed Amount | 187781.28 |
| Total Medical Medicare Payment Amount | 140308.02 |
| Total Medical Medicare Standardized Payment Amount | 146560.99 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 835 |
| Number Of Beneficiaries Age 65 to 74 | 1372 |
| Number Of Beneficiaries Age 75 to 84 | 1186 |
| Number Of Beneficiaries Age Greater 84 | 777 |
| Number Of Female Beneficiaries | 2623 |
| Number Of Male Beneficiaries | 1547 |
| Number Of Non Hispanic White Beneficiaries | 3375 |
| Number Of Black or African American Beneficiaries | 621 |
| Number Of AsianPacific Islander Beneficiaries | 30 |
| Number Of Hispanic Beneficiaries | 105 |
| Number Of American Indian Alaska Native Beneficiaries | 15 |
| Number Of Beneficiaries With Race Not Else where Classified | 24 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3144 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1026 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.7573 |