National Provider Identifier [NPI]: |
1962469957 |
Last Name Of The Provider |
FLESHER |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
848 N SAINT FRANCIS ST |
Street Address 2 Of The Provider |
STE. 2945 |
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672143800 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
3172 |
Number Of Medicare Beneficiaries |
1010 |
Total Submitted Charge Amount |
881585.83 |
Total Medicare Allowed Amount |
266771.07 |
Total Medicare Payment Amount |
201093.09 |
Total Medicare Standardized Payment Amount |
213545.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
868.5 |
Total Drug Medicare AllowedAmount |
692.8 |
Total Drug Medicare PaymentAmount |
676.09 |
Total Drug Medicare Standardized Payment Amount |
676.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
3149 |
Number Of Medicare Beneficiaries With Medical Services |
1010 |
Total Medical Submitted Charge Amount |
880717.33 |
Total Medical Medicare Allowed Amount |
266078.27 |
Total Medical Medicare Payment Amount |
200417 |
Total Medical Medicare Standardized Payment Amount |
212869.1 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
186 |
Number Of Beneficiaries Age 65 to 74 |
404 |
Number Of Beneficiaries Age 75 to 84 |
312 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
549 |
Number Of Male Beneficiaries |
461 |
Number Of Non Hispanic White Beneficiaries |
901 |
Number Of Black or African American Beneficiaries |
55 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
775 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
235 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
67 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.094 |