National Provider Identifier [NPI]: |
1740245638 |
Last Name Of The Provider |
JOHNSTON |
First Name Of The Provider |
SARA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
520 S SANTA FE AVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
SALINA |
Zip Code Of The Provider |
674014190 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
133 |
Number Of Services |
4684 |
Number Of Medicare Beneficiaries |
330 |
Total Submitted Charge Amount |
276284 |
Total Medicare Allowed Amount |
150133.3 |
Total Medicare Payment Amount |
112432.42 |
Total Medicare Standardized Payment Amount |
120040.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
426 |
Number Of Medicare Beneficiaries With Drug Services |
110 |
Total Drug Submitted ChargeAmount |
8168 |
Total Drug Medicare AllowedAmount |
5631.34 |
Total Drug Medicare PaymentAmount |
5002.06 |
Total Drug Medicare Standardized Payment Amount |
5002.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
118 |
Number Of Medical Services |
4258 |
Number Of Medicare Beneficiaries With Medical Services |
330 |
Total Medical Submitted Charge Amount |
268116 |
Total Medical Medicare Allowed Amount |
144501.96 |
Total Medical Medicare Payment Amount |
107430.36 |
Total Medical Medicare Standardized Payment Amount |
115038.8 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
139 |
Number Of Beneficiaries Age 75 to 84 |
101 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
283 |
Number Of Male Beneficiaries |
47 |
Number Of Non Hispanic White Beneficiaries |
310 |
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 |
282 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8885 |