National Provider Identifier [NPI]: |
1790999654 |
Last Name Of The Provider |
CHRISTENSEN |
First Name Of The Provider |
RYAN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9301 W 74TH ST |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
SHAWNEE MISSION |
Zip Code Of The Provider |
662042207 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
21664 |
Number Of Medicare Beneficiaries |
1086 |
Total Submitted Charge Amount |
12332888 |
Total Medicare Allowed Amount |
5461549.57 |
Total Medicare Payment Amount |
4213370.94 |
Total Medicare Standardized Payment Amount |
4237124.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
9936 |
Number Of Medicare Beneficiaries With Drug Services |
355 |
Total Drug Submitted ChargeAmount |
8981418 |
Total Drug Medicare AllowedAmount |
4530007.95 |
Total Drug Medicare PaymentAmount |
3525350.19 |
Total Drug Medicare Standardized Payment Amount |
3525350.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
11728 |
Number Of Medicare Beneficiaries With Medical Services |
1084 |
Total Medical Submitted Charge Amount |
3351470 |
Total Medical Medicare Allowed Amount |
931541.62 |
Total Medical Medicare Payment Amount |
688020.75 |
Total Medical Medicare Standardized Payment Amount |
711774.22 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
391 |
Number Of Beneficiaries Age 75 to 84 |
375 |
Number Of Beneficiaries Age Greater 84 |
240 |
Number Of Female Beneficiaries |
635 |
Number Of Male Beneficiaries |
451 |
Number Of Non Hispanic White Beneficiaries |
1038 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
982 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
104 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3294 |