National Provider Identifier [NPI]: |
1356316228 |
Last Name Of The Provider |
CHO |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 MEDICAL CENTER DR |
Street Address 2 Of The Provider |
SUITE 130 |
City Of The Provider |
NEWTON |
Zip Code Of The Provider |
671149013 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
6580 |
Number Of Medicare Beneficiaries |
554 |
Total Submitted Charge Amount |
720634.34 |
Total Medicare Allowed Amount |
301681.95 |
Total Medicare Payment Amount |
225982.58 |
Total Medicare Standardized Payment Amount |
237242.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
3009 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
155151 |
Total Drug Medicare AllowedAmount |
56190.12 |
Total Drug Medicare PaymentAmount |
43558.41 |
Total Drug Medicare Standardized Payment Amount |
43558.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
3571 |
Number Of Medicare Beneficiaries With Medical Services |
554 |
Total Medical Submitted Charge Amount |
565483.34 |
Total Medical Medicare Allowed Amount |
245491.83 |
Total Medical Medicare Payment Amount |
182424.17 |
Total Medical Medicare Standardized Payment Amount |
193684 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
213 |
Number Of Beneficiaries Age 75 to 84 |
204 |
Number Of Beneficiaries Age Greater 84 |
111 |
Number Of Female Beneficiaries |
118 |
Number Of Male Beneficiaries |
436 |
Number Of Non Hispanic White Beneficiaries |
535 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
506 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
27 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0694 |