National Provider Identifier [NPI]: |
1871557272 |
Last Name Of The Provider |
SWEAT |
First Name Of The Provider |
TRACY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
RPAC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1010 HOSPITAL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
MCPHERSON |
Zip Code Of The Provider |
674602326 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
1322 |
Number Of Medicare Beneficiaries |
303 |
Total Submitted Charge Amount |
72825 |
Total Medicare Allowed Amount |
38515.83 |
Total Medicare Payment Amount |
29591.87 |
Total Medicare Standardized Payment Amount |
36329.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
103 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
2405 |
Total Drug Medicare AllowedAmount |
1558.57 |
Total Drug Medicare PaymentAmount |
1352.16 |
Total Drug Medicare Standardized Payment Amount |
1352.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
1219 |
Number Of Medicare Beneficiaries With Medical Services |
303 |
Total Medical Submitted Charge Amount |
70420 |
Total Medical Medicare Allowed Amount |
36957.26 |
Total Medical Medicare Payment Amount |
28239.71 |
Total Medical Medicare Standardized Payment Amount |
34977.4 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
121 |
Number Of Beneficiaries Age 75 to 84 |
92 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
200 |
Number Of Male Beneficiaries |
103 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
267 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9206 |