National Provider Identifier [NPI]: |
1063538544 |
Last Name Of The Provider |
SANDERS |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1112 W 6TH |
Street Address 2 Of The Provider |
SUITE 110 |
City Of The Provider |
LAWRENCE |
Zip Code Of The Provider |
66044 |
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 |
187 |
Number Of Services |
5277 |
Number Of Medicare Beneficiaries |
2817 |
Total Submitted Charge Amount |
614508 |
Total Medicare Allowed Amount |
173170.73 |
Total Medicare Payment Amount |
124602.52 |
Total Medicare Standardized Payment Amount |
132284.58 |
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 |
187 |
Number Of Medical Services |
5277 |
Number Of Medicare Beneficiaries With Medical Services |
2817 |
Total Medical Submitted Charge Amount |
614508 |
Total Medical Medicare Allowed Amount |
173170.73 |
Total Medical Medicare Payment Amount |
124602.52 |
Total Medical Medicare Standardized Payment Amount |
132284.58 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
499 |
Number Of Beneficiaries Age 65 to 74 |
1061 |
Number Of Beneficiaries Age 75 to 84 |
780 |
Number Of Beneficiaries Age Greater 84 |
477 |
Number Of Female Beneficiaries |
1890 |
Number Of Male Beneficiaries |
927 |
Number Of Non Hispanic White Beneficiaries |
2565 |
Number Of Black or African American Beneficiaries |
103 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
43 |
Number Of American Indian Alaska Native Beneficiaries |
61 |
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
2301 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
516 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3358 |