National Provider Identifier [NPI]: |
1689653131 |
Last Name Of The Provider |
NEEL |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2600 N WOODLAWN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672202729 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
15397 |
Number Of Medicare Beneficiaries |
2543 |
Total Submitted Charge Amount |
4107219 |
Total Medicare Allowed Amount |
1288246.66 |
Total Medicare Payment Amount |
969854.57 |
Total Medicare Standardized Payment Amount |
1044298.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
2417 |
Number Of Medicare Beneficiaries With Drug Services |
559 |
Total Drug Submitted ChargeAmount |
282484 |
Total Drug Medicare AllowedAmount |
116878.42 |
Total Drug Medicare PaymentAmount |
90819.47 |
Total Drug Medicare Standardized Payment Amount |
90819.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
12980 |
Number Of Medicare Beneficiaries With Medical Services |
2543 |
Total Medical Submitted Charge Amount |
3824735 |
Total Medical Medicare Allowed Amount |
1171368.24 |
Total Medical Medicare Payment Amount |
879035.1 |
Total Medical Medicare Standardized Payment Amount |
953478.85 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
296 |
Number Of Beneficiaries Age 65 to 74 |
996 |
Number Of Beneficiaries Age 75 to 84 |
911 |
Number Of Beneficiaries Age Greater 84 |
340 |
Number Of Female Beneficiaries |
1273 |
Number Of Male Beneficiaries |
1270 |
Number Of Non Hispanic White Beneficiaries |
2278 |
Number Of Black or African American Beneficiaries |
168 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
2205 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
338 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3377 |