National Provider Identifier [NPI]: |
1194938118 |
Last Name Of The Provider |
NEWLAND |
First Name Of The Provider |
MEGGAN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4320 WORNALL RD |
Street Address 2 Of The Provider |
MEDICAL PLAZA I STE 728 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
641115941 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
4522 |
Number Of Medicare Beneficiaries |
958 |
Total Submitted Charge Amount |
647457 |
Total Medicare Allowed Amount |
204199.4 |
Total Medicare Payment Amount |
142047.73 |
Total Medicare Standardized Payment Amount |
143594.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
51 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
6632 |
Total Drug Medicare AllowedAmount |
3007.62 |
Total Drug Medicare PaymentAmount |
2352.18 |
Total Drug Medicare Standardized Payment Amount |
2352.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
4471 |
Number Of Medicare Beneficiaries With Medical Services |
958 |
Total Medical Submitted Charge Amount |
640825 |
Total Medical Medicare Allowed Amount |
201191.78 |
Total Medical Medicare Payment Amount |
139695.55 |
Total Medical Medicare Standardized Payment Amount |
141242.79 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
474 |
Number Of Beneficiaries Age 75 to 84 |
279 |
Number Of Beneficiaries Age Greater 84 |
113 |
Number Of Female Beneficiaries |
564 |
Number Of Male Beneficiaries |
394 |
Number Of Non Hispanic White Beneficiaries |
901 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
872 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
86 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9553 |