National Provider Identifier [NPI]: |
1437144375 |
Last Name Of The Provider |
HANDLIN |
First Name Of The Provider |
LARRY |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
201 E MONROE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MEXICO |
Zip Code Of The Provider |
652652852 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
6481 |
Number Of Medicare Beneficiaries |
1323 |
Total Submitted Charge Amount |
1588943.13 |
Total Medicare Allowed Amount |
520908.08 |
Total Medicare Payment Amount |
388566.16 |
Total Medicare Standardized Payment Amount |
416662.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
279 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
43330.56 |
Total Drug Medicare AllowedAmount |
14356.19 |
Total Drug Medicare PaymentAmount |
11288.37 |
Total Drug Medicare Standardized Payment Amount |
11288.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
94 |
Number Of Medical Services |
6202 |
Number Of Medicare Beneficiaries With Medical Services |
1323 |
Total Medical Submitted Charge Amount |
1545612.57 |
Total Medical Medicare Allowed Amount |
506551.89 |
Total Medical Medicare Payment Amount |
377277.79 |
Total Medical Medicare Standardized Payment Amount |
405374.3 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
416 |
Number Of Beneficiaries Age 75 to 84 |
444 |
Number Of Beneficiaries Age Greater 84 |
306 |
Number Of Female Beneficiaries |
742 |
Number Of Male Beneficiaries |
581 |
Number Of Non Hispanic White Beneficiaries |
1259 |
Number Of Black or African American Beneficiaries |
49 |
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 |
1072 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
251 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3862 |