National Provider Identifier [NPI]: |
1700895083 |
Last Name Of The Provider |
KOSA |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6400 PROSPECT |
Street Address 2 Of The Provider |
SUITE 316 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
64132 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
12779 |
Number Of Medicare Beneficiaries |
405 |
Total Submitted Charge Amount |
382807 |
Total Medicare Allowed Amount |
149899.05 |
Total Medicare Payment Amount |
111668.56 |
Total Medicare Standardized Payment Amount |
112299.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
12006 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
197110 |
Total Drug Medicare AllowedAmount |
66754.02 |
Total Drug Medicare PaymentAmount |
51467.34 |
Total Drug Medicare Standardized Payment Amount |
51467.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
773 |
Number Of Medicare Beneficiaries With Medical Services |
405 |
Total Medical Submitted Charge Amount |
185697 |
Total Medical Medicare Allowed Amount |
83145.03 |
Total Medical Medicare Payment Amount |
60201.22 |
Total Medical Medicare Standardized Payment Amount |
60832.43 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
142 |
Number Of Beneficiaries Age 75 to 84 |
109 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
227 |
Number Of Male Beneficiaries |
178 |
Number Of Non Hispanic White Beneficiaries |
303 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
303 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
102 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
1.5392 |