National Provider Identifier [NPI]: |
1922210624 |
Last Name Of The Provider |
TERNES |
First Name Of The Provider |
TYLER |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
551 N HILLSIDE ST STE 320 |
Street Address 2 Of The Provider |
|
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672144926 |
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 |
208 |
Number Of Services |
10960 |
Number Of Medicare Beneficiaries |
3282 |
Total Submitted Charge Amount |
845851.2 |
Total Medicare Allowed Amount |
263856.24 |
Total Medicare Payment Amount |
211131.58 |
Total Medicare Standardized Payment Amount |
227926.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
5672 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
1340.2 |
Total Drug Medicare AllowedAmount |
1200.03 |
Total Drug Medicare PaymentAmount |
844.73 |
Total Drug Medicare Standardized Payment Amount |
844.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
206 |
Number Of Medical Services |
5288 |
Number Of Medicare Beneficiaries With Medical Services |
3280 |
Total Medical Submitted Charge Amount |
844511 |
Total Medical Medicare Allowed Amount |
262656.21 |
Total Medical Medicare Payment Amount |
210286.85 |
Total Medical Medicare Standardized Payment Amount |
227082.05 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
541 |
Number Of Beneficiaries Age 65 to 74 |
1156 |
Number Of Beneficiaries Age 75 to 84 |
1052 |
Number Of Beneficiaries Age Greater 84 |
533 |
Number Of Female Beneficiaries |
2095 |
Number Of Male Beneficiaries |
1187 |
Number Of Non Hispanic White Beneficiaries |
2898 |
Number Of Black or African American Beneficiaries |
217 |
Number Of AsianPacific Islander Beneficiaries |
45 |
Number Of Hispanic Beneficiaries |
85 |
Number Of American Indian Alaska Native Beneficiaries |
18 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
2624 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
658 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.546 |