National Provider Identifier [NPI]: |
1659312221 |
Last Name Of The Provider |
PRIBIL |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
420 COUNTRY CLUB RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PRATT |
Zip Code Of The Provider |
671243125 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
8431 |
Number Of Medicare Beneficiaries |
979 |
Total Submitted Charge Amount |
433308 |
Total Medicare Allowed Amount |
238831.04 |
Total Medicare Payment Amount |
186424.44 |
Total Medicare Standardized Payment Amount |
186010.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
5993 |
Number Of Medicare Beneficiaries With Drug Services |
101 |
Total Drug Submitted ChargeAmount |
118480 |
Total Drug Medicare AllowedAmount |
86490.96 |
Total Drug Medicare PaymentAmount |
67482 |
Total Drug Medicare Standardized Payment Amount |
67482 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
2438 |
Number Of Medicare Beneficiaries With Medical Services |
970 |
Total Medical Submitted Charge Amount |
314828 |
Total Medical Medicare Allowed Amount |
152340.08 |
Total Medical Medicare Payment Amount |
118942.44 |
Total Medical Medicare Standardized Payment Amount |
118528.78 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
318 |
Number Of Beneficiaries Age 75 to 84 |
394 |
Number Of Beneficiaries Age Greater 84 |
204 |
Number Of Female Beneficiaries |
574 |
Number Of Male Beneficiaries |
405 |
Number Of Non Hispanic White Beneficiaries |
954 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
876 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
103 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1177 |