National Provider Identifier [NPI]: |
1356330427 |
Last Name Of The Provider |
CRONEMEYER |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5800 FOXRIDGE DR |
Street Address 2 Of The Provider |
SUITE 240 |
City Of The Provider |
MISSION |
Zip Code Of The Provider |
662022347 |
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 |
185 |
Number Of Services |
4297 |
Number Of Medicare Beneficiaries |
2673 |
Total Submitted Charge Amount |
312524 |
Total Medicare Allowed Amount |
112939.85 |
Total Medicare Payment Amount |
86118.82 |
Total Medicare Standardized Payment Amount |
88670.52 |
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 |
185 |
Number Of Medical Services |
4297 |
Number Of Medicare Beneficiaries With Medical Services |
2673 |
Total Medical Submitted Charge Amount |
312524 |
Total Medical Medicare Allowed Amount |
112939.85 |
Total Medical Medicare Payment Amount |
86118.82 |
Total Medical Medicare Standardized Payment Amount |
88670.52 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
503 |
Number Of Beneficiaries Age 65 to 74 |
900 |
Number Of Beneficiaries Age 75 to 84 |
791 |
Number Of Beneficiaries Age Greater 84 |
479 |
Number Of Female Beneficiaries |
1748 |
Number Of Male Beneficiaries |
925 |
Number Of Non Hispanic White Beneficiaries |
2445 |
Number Of Black or African American Beneficiaries |
127 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
51 |
Number Of American Indian Alaska Native Beneficiaries |
12 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
2132 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
541 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.608 |