National Provider Identifier [NPI]: |
1285843557 |
Last Name Of The Provider |
IZARD |
First Name Of The Provider |
AHMAD |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3600 E HARRY ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672183713 |
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 |
161 |
Number Of Services |
16771 |
Number Of Medicare Beneficiaries |
2364 |
Total Submitted Charge Amount |
1483348.5 |
Total Medicare Allowed Amount |
343074.28 |
Total Medicare Payment Amount |
258579.01 |
Total Medicare Standardized Payment Amount |
288050.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
13158 |
Number Of Medicare Beneficiaries With Drug Services |
362 |
Total Drug Submitted ChargeAmount |
42876.5 |
Total Drug Medicare AllowedAmount |
2858.27 |
Total Drug Medicare PaymentAmount |
2092.58 |
Total Drug Medicare Standardized Payment Amount |
2092.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
158 |
Number Of Medical Services |
3613 |
Number Of Medicare Beneficiaries With Medical Services |
2364 |
Total Medical Submitted Charge Amount |
1440472 |
Total Medical Medicare Allowed Amount |
340216.01 |
Total Medical Medicare Payment Amount |
256486.43 |
Total Medical Medicare Standardized Payment Amount |
285958 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
366 |
Number Of Beneficiaries Age 65 to 74 |
897 |
Number Of Beneficiaries Age 75 to 84 |
743 |
Number Of Beneficiaries Age Greater 84 |
358 |
Number Of Female Beneficiaries |
1448 |
Number Of Male Beneficiaries |
916 |
Number Of Non Hispanic White Beneficiaries |
2138 |
Number Of Black or African American Beneficiaries |
120 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
67 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2073 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
291 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1949 |