National Provider Identifier [NPI]: |
1063477966 |
Last Name Of The Provider |
NORRIS |
First Name Of The Provider |
KEVIN |
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 |
520 S SANTA FE AVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
SALINA |
Zip Code Of The Provider |
674014190 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
106 |
Number Of Services |
4283 |
Number Of Medicare Beneficiaries |
516 |
Total Submitted Charge Amount |
257933 |
Total Medicare Allowed Amount |
133449.26 |
Total Medicare Payment Amount |
99101.97 |
Total Medicare Standardized Payment Amount |
105521.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
264 |
Number Of Medicare Beneficiaries With Drug Services |
88 |
Total Drug Submitted ChargeAmount |
6036 |
Total Drug Medicare AllowedAmount |
3319.32 |
Total Drug Medicare PaymentAmount |
2975.52 |
Total Drug Medicare Standardized Payment Amount |
2975.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
4019 |
Number Of Medicare Beneficiaries With Medical Services |
516 |
Total Medical Submitted Charge Amount |
251897 |
Total Medical Medicare Allowed Amount |
130129.94 |
Total Medical Medicare Payment Amount |
96126.45 |
Total Medical Medicare Standardized Payment Amount |
102545.75 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
234 |
Number Of Beneficiaries Age 75 to 84 |
166 |
Number Of Beneficiaries Age Greater 84 |
68 |
Number Of Female Beneficiaries |
353 |
Number Of Male Beneficiaries |
163 |
Number Of Non Hispanic White Beneficiaries |
498 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
471 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8688 |