National Provider Identifier [NPI]: |
1386626109 |
Last Name Of The Provider |
PAUL |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5880 UNIVERSITY AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST DES MOINES |
Zip Code Of The Provider |
502668220 |
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 |
65 |
Number Of Services |
7859 |
Number Of Medicare Beneficiaries |
4785 |
Total Submitted Charge Amount |
1208406.5 |
Total Medicare Allowed Amount |
437474.27 |
Total Medicare Payment Amount |
314046.41 |
Total Medicare Standardized Payment Amount |
341917.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
22 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
1303.5 |
Total Drug Medicare AllowedAmount |
1222.32 |
Total Drug Medicare PaymentAmount |
764 |
Total Drug Medicare Standardized Payment Amount |
764 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
7837 |
Number Of Medicare Beneficiaries With Medical Services |
4785 |
Total Medical Submitted Charge Amount |
1207103 |
Total Medical Medicare Allowed Amount |
436251.95 |
Total Medical Medicare Payment Amount |
313282.41 |
Total Medical Medicare Standardized Payment Amount |
341153.56 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
449 |
Number Of Beneficiaries Age 65 to 74 |
1709 |
Number Of Beneficiaries Age 75 to 84 |
1686 |
Number Of Beneficiaries Age Greater 84 |
941 |
Number Of Female Beneficiaries |
2460 |
Number Of Male Beneficiaries |
2325 |
Number Of Non Hispanic White Beneficiaries |
4543 |
Number Of Black or African American Beneficiaries |
112 |
Number Of AsianPacific Islander Beneficiaries |
39 |
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
4009 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
776 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3991 |