National Provider Identifier [NPI]: |
1124051909 |
Last Name Of The Provider |
KREMP |
First Name Of The Provider |
RICHARD |
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 |
5795 S. SANDHILL RD |
Street Address 2 Of The Provider |
SUITE F |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891202558 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
132 |
Number Of Services |
4289 |
Number Of Medicare Beneficiaries |
1402 |
Total Submitted Charge Amount |
1496720 |
Total Medicare Allowed Amount |
347055.08 |
Total Medicare Payment Amount |
267308.67 |
Total Medicare Standardized Payment Amount |
263643.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2078 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
5870 |
Total Drug Medicare AllowedAmount |
989.2 |
Total Drug Medicare PaymentAmount |
775.46 |
Total Drug Medicare Standardized Payment Amount |
775.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
128 |
Number Of Medical Services |
2211 |
Number Of Medicare Beneficiaries With Medical Services |
1402 |
Total Medical Submitted Charge Amount |
1490850 |
Total Medical Medicare Allowed Amount |
346065.88 |
Total Medical Medicare Payment Amount |
266533.21 |
Total Medical Medicare Standardized Payment Amount |
262868.22 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
390 |
Number Of Beneficiaries Age 65 to 74 |
638 |
Number Of Beneficiaries Age 75 to 84 |
286 |
Number Of Beneficiaries Age Greater 84 |
88 |
Number Of Female Beneficiaries |
860 |
Number Of Male Beneficiaries |
542 |
Number Of Non Hispanic White Beneficiaries |
908 |
Number Of Black or African American Beneficiaries |
196 |
Number Of AsianPacific Islander Beneficiaries |
90 |
Number Of Hispanic Beneficiaries |
166 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1037 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
365 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3448 |