National Provider Identifier [NPI]: |
1528284361 |
Last Name Of The Provider |
ANDREWS |
First Name Of The Provider |
TYLER |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1010 N KANSAS ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672143124 |
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 |
195 |
Number Of Services |
5722 |
Number Of Medicare Beneficiaries |
3296 |
Total Submitted Charge Amount |
555865.07 |
Total Medicare Allowed Amount |
170418.81 |
Total Medicare Payment Amount |
130757.28 |
Total Medicare Standardized Payment Amount |
136267.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
195 |
Number Of Medical Services |
5722 |
Number Of Medicare Beneficiaries With Medical Services |
3296 |
Total Medical Submitted Charge Amount |
555865.07 |
Total Medical Medicare Allowed Amount |
170418.81 |
Total Medical Medicare Payment Amount |
130757.28 |
Total Medical Medicare Standardized Payment Amount |
136267.99 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
428 |
Number Of Beneficiaries Age 65 to 74 |
1437 |
Number Of Beneficiaries Age 75 to 84 |
988 |
Number Of Beneficiaries Age Greater 84 |
443 |
Number Of Female Beneficiaries |
2187 |
Number Of Male Beneficiaries |
1109 |
Number Of Non Hispanic White Beneficiaries |
3156 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
50 |
Number Of American Indian Alaska Native Beneficiaries |
42 |
Number Of Beneficiaries With Race Not Else where Classified |
31 |
Number Of Beneficiaries With Medicare Only Entitlement |
2800 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
496 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2273 |