National Provider Identifier [NPI]: |
1710936018 |
Last Name Of The Provider |
KNISS |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2631 S 70TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LINCOLN |
Zip Code Of The Provider |
685062960 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
12874 |
Number Of Medicare Beneficiaries |
733 |
Total Submitted Charge Amount |
278729.45 |
Total Medicare Allowed Amount |
276736.25 |
Total Medicare Payment Amount |
210346.41 |
Total Medicare Standardized Payment Amount |
219969.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
11455 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
101867.6 |
Total Drug Medicare AllowedAmount |
101867.6 |
Total Drug Medicare PaymentAmount |
79707.37 |
Total Drug Medicare Standardized Payment Amount |
79707.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
1419 |
Number Of Medicare Beneficiaries With Medical Services |
733 |
Total Medical Submitted Charge Amount |
176861.85 |
Total Medical Medicare Allowed Amount |
174868.65 |
Total Medical Medicare Payment Amount |
130639.04 |
Total Medical Medicare Standardized Payment Amount |
140262.02 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
149 |
Number Of Beneficiaries Age 65 to 74 |
244 |
Number Of Beneficiaries Age 75 to 84 |
238 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
420 |
Number Of Male Beneficiaries |
313 |
Number Of Non Hispanic White Beneficiaries |
702 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
558 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
175 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
1.2741 |