National Provider Identifier [NPI]: |
1174662894 |
Last Name Of The Provider |
MEGGISON |
First Name Of The Provider |
BRETT |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1303 SW FIRST AMERICAN PL |
Street Address 2 Of The Provider |
|
City Of The Provider |
TOPEKA |
Zip Code Of The Provider |
666044059 |
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 |
209 |
Number Of Services |
6861 |
Number Of Medicare Beneficiaries |
4681 |
Total Submitted Charge Amount |
888828.75 |
Total Medicare Allowed Amount |
243938.35 |
Total Medicare Payment Amount |
192441.53 |
Total Medicare Standardized Payment Amount |
204734.9 |
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 |
209 |
Number Of Medical Services |
6861 |
Number Of Medicare Beneficiaries With Medical Services |
4681 |
Total Medical Submitted Charge Amount |
888828.75 |
Total Medical Medicare Allowed Amount |
243938.35 |
Total Medical Medicare Payment Amount |
192441.53 |
Total Medical Medicare Standardized Payment Amount |
204734.9 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
820 |
Number Of Beneficiaries Age 65 to 74 |
1577 |
Number Of Beneficiaries Age 75 to 84 |
1461 |
Number Of Beneficiaries Age Greater 84 |
823 |
Number Of Female Beneficiaries |
2937 |
Number Of Male Beneficiaries |
1744 |
Number Of Non Hispanic White Beneficiaries |
4184 |
Number Of Black or African American Beneficiaries |
236 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
153 |
Number Of American Indian Alaska Native Beneficiaries |
53 |
Number Of Beneficiaries With Race Not Else where Classified |
37 |
Number Of Beneficiaries With Medicare Only Entitlement |
3714 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
967 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4475 |