National Provider Identifier [NPI]: |
1891953816 |
Last Name Of The Provider |
REDELMAN |
First Name Of The Provider |
RYAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9100 W 74TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SHAWNEE MISSION |
Zip Code Of The Provider |
662044004 |
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 |
190 |
Number Of Services |
7122 |
Number Of Medicare Beneficiaries |
3243 |
Total Submitted Charge Amount |
805598.79 |
Total Medicare Allowed Amount |
241165.88 |
Total Medicare Payment Amount |
188070.02 |
Total Medicare Standardized Payment Amount |
202096.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2052 |
Number Of Medicare Beneficiaries With Drug Services |
53 |
Total Drug Submitted ChargeAmount |
6730 |
Total Drug Medicare AllowedAmount |
1653.8 |
Total Drug Medicare PaymentAmount |
1296.59 |
Total Drug Medicare Standardized Payment Amount |
1296.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
185 |
Number Of Medical Services |
5070 |
Number Of Medicare Beneficiaries With Medical Services |
3243 |
Total Medical Submitted Charge Amount |
798868.79 |
Total Medical Medicare Allowed Amount |
239512.08 |
Total Medical Medicare Payment Amount |
186773.43 |
Total Medical Medicare Standardized Payment Amount |
200799.95 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
445 |
Number Of Beneficiaries Age 65 to 74 |
1304 |
Number Of Beneficiaries Age 75 to 84 |
884 |
Number Of Beneficiaries Age Greater 84 |
610 |
Number Of Female Beneficiaries |
2025 |
Number Of Male Beneficiaries |
1218 |
Number Of Non Hispanic White Beneficiaries |
2912 |
Number Of Black or African American Beneficiaries |
170 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
85 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
40 |
Number Of Beneficiaries With Medicare Only Entitlement |
2823 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
420 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4168 |