National Provider Identifier [NPI]: |
1437241221 |
Last Name Of The Provider |
WALKER |
First Name Of The Provider |
NICHOLAS |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 HAWKINS DR |
Street Address 2 Of The Provider |
DEPARTMENT OF INTERNAL MEDICINE |
City Of The Provider |
IOWA CITY |
Zip Code Of The Provider |
522421009 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
4988 |
Number Of Medicare Beneficiaries |
1978 |
Total Submitted Charge Amount |
1212106 |
Total Medicare Allowed Amount |
481711.17 |
Total Medicare Payment Amount |
357378.03 |
Total Medicare Standardized Payment Amount |
384689.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
388 |
Number Of Medicare Beneficiaries With Drug Services |
96 |
Total Drug Submitted ChargeAmount |
35000 |
Total Drug Medicare AllowedAmount |
20551.65 |
Total Drug Medicare PaymentAmount |
15989.8 |
Total Drug Medicare Standardized Payment Amount |
15989.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
4600 |
Number Of Medicare Beneficiaries With Medical Services |
1978 |
Total Medical Submitted Charge Amount |
1177106 |
Total Medical Medicare Allowed Amount |
461159.52 |
Total Medical Medicare Payment Amount |
341388.23 |
Total Medical Medicare Standardized Payment Amount |
368700.08 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
107 |
Number Of Beneficiaries Age 65 to 74 |
724 |
Number Of Beneficiaries Age 75 to 84 |
736 |
Number Of Beneficiaries Age Greater 84 |
411 |
Number Of Female Beneficiaries |
986 |
Number Of Male Beneficiaries |
992 |
Number Of Non Hispanic White Beneficiaries |
1928 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
1796 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
182 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1529 |