National Provider Identifier [NPI]: |
1891754941 |
Last Name Of The Provider |
AHRENS |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
502 MAIN |
Street Address 2 Of The Provider |
GUTHRIE FAMILY MEDICINE CENTER PLC |
City Of The Provider |
GUTHRIE CENTER |
Zip Code Of The Provider |
50115 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
2723 |
Number Of Medicare Beneficiaries |
575 |
Total Submitted Charge Amount |
280190.1 |
Total Medicare Allowed Amount |
188769.88 |
Total Medicare Payment Amount |
134008.21 |
Total Medicare Standardized Payment Amount |
141995.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
192 |
Number Of Medicare Beneficiaries With Drug Services |
160 |
Total Drug Submitted ChargeAmount |
6769.58 |
Total Drug Medicare AllowedAmount |
6586.7 |
Total Drug Medicare PaymentAmount |
6404.14 |
Total Drug Medicare Standardized Payment Amount |
6404.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
2531 |
Number Of Medicare Beneficiaries With Medical Services |
575 |
Total Medical Submitted Charge Amount |
273420.52 |
Total Medical Medicare Allowed Amount |
182183.18 |
Total Medical Medicare Payment Amount |
127604.07 |
Total Medical Medicare Standardized Payment Amount |
135591.11 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
191 |
Number Of Beneficiaries Age 75 to 84 |
179 |
Number Of Beneficiaries Age Greater 84 |
159 |
Number Of Female Beneficiaries |
321 |
Number Of Male Beneficiaries |
254 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
489 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
86 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
2 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
30 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9668 |