National Provider Identifier [NPI]: |
1073595815 |
Last Name Of The Provider |
SENSARMA |
First Name Of The Provider |
PRONAB |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9300 E 29TH ST N |
Street Address 2 Of The Provider |
SUITE 310 |
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672262182 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
141 |
Number Of Services |
7217 |
Number Of Medicare Beneficiaries |
1005 |
Total Submitted Charge Amount |
1844115.16 |
Total Medicare Allowed Amount |
667608.07 |
Total Medicare Payment Amount |
495152.46 |
Total Medicare Standardized Payment Amount |
542690.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1426 |
Number Of Medicare Beneficiaries With Drug Services |
141 |
Total Drug Submitted ChargeAmount |
31127.6 |
Total Drug Medicare AllowedAmount |
15082.59 |
Total Drug Medicare PaymentAmount |
11623.11 |
Total Drug Medicare Standardized Payment Amount |
11623.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
138 |
Number Of Medical Services |
5791 |
Number Of Medicare Beneficiaries With Medical Services |
1005 |
Total Medical Submitted Charge Amount |
1812987.56 |
Total Medical Medicare Allowed Amount |
652525.48 |
Total Medical Medicare Payment Amount |
483529.35 |
Total Medical Medicare Standardized Payment Amount |
531067.68 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
91 |
Number Of Beneficiaries Age 65 to 74 |
319 |
Number Of Beneficiaries Age 75 to 84 |
361 |
Number Of Beneficiaries Age Greater 84 |
234 |
Number Of Female Beneficiaries |
494 |
Number Of Male Beneficiaries |
511 |
Number Of Non Hispanic White Beneficiaries |
924 |
Number Of Black or African American Beneficiaries |
37 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
843 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
162 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4256 |