National Provider Identifier [NPI]: |
1922056613 |
Last Name Of The Provider |
KRADEL |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6801 ROGERS AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT SMITH |
Zip Code Of The Provider |
729034067 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Obstetrics/Gynecology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
1649 |
Number Of Medicare Beneficiaries |
320 |
Total Submitted Charge Amount |
83965 |
Total Medicare Allowed Amount |
36879.74 |
Total Medicare Payment Amount |
28869.23 |
Total Medicare Standardized Payment Amount |
32536 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
883 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
1882 |
Total Drug Medicare AllowedAmount |
251.48 |
Total Drug Medicare PaymentAmount |
204.24 |
Total Drug Medicare Standardized Payment Amount |
204.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
766 |
Number Of Medicare Beneficiaries With Medical Services |
320 |
Total Medical Submitted Charge Amount |
82083 |
Total Medical Medicare Allowed Amount |
36628.26 |
Total Medical Medicare Payment Amount |
28664.99 |
Total Medical Medicare Standardized Payment Amount |
32331.76 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
188 |
Number Of Beneficiaries Age 75 to 84 |
88 |
Number Of Beneficiaries Age Greater 84 |
17 |
Number Of Female Beneficiaries |
|
Number Of Male Beneficiaries |
|
Number Of Non Hispanic White Beneficiaries |
305 |
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 |
292 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
28 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
|
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7404 |