National Provider Identifier [NPI]: |
1851427983 |
Last Name Of The Provider |
HILL |
First Name Of The Provider |
TONYA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1525 MADISON ST STE 2 |
Street Address 2 Of The Provider |
|
City Of The Provider |
FREDONIA |
Zip Code Of The Provider |
667361704 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
3959 |
Number Of Medicare Beneficiaries |
656 |
Total Submitted Charge Amount |
388887.34 |
Total Medicare Allowed Amount |
222957.68 |
Total Medicare Payment Amount |
165957.83 |
Total Medicare Standardized Payment Amount |
175092.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
154 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
3021 |
Total Drug Medicare AllowedAmount |
232.26 |
Total Drug Medicare PaymentAmount |
174.82 |
Total Drug Medicare Standardized Payment Amount |
174.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
3805 |
Number Of Medicare Beneficiaries With Medical Services |
656 |
Total Medical Submitted Charge Amount |
385866.34 |
Total Medical Medicare Allowed Amount |
222725.42 |
Total Medical Medicare Payment Amount |
165783.01 |
Total Medical Medicare Standardized Payment Amount |
174917.7 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
129 |
Number Of Beneficiaries Age 65 to 74 |
195 |
Number Of Beneficiaries Age 75 to 84 |
203 |
Number Of Beneficiaries Age Greater 84 |
129 |
Number Of Female Beneficiaries |
385 |
Number Of Male Beneficiaries |
271 |
Number Of Non Hispanic White Beneficiaries |
635 |
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 |
439 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
217 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
52 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
25 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3853 |