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Kenosha Radiology Center Llc.

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NPI Number Detailed Information

Provider Information:

Name: Kenosha Radiology Center Llc.
Gender:
Provider License Number If Given: XM310472

NPI Information:

NPI: 1770540130
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 4/28/2006

Last Update Date: 8/22/2020

Provider Business Mailing Address:

Address: 10117 74TH ST SUITE 150
Kenosha, WI 53142
Phone Number: 2626977770
Fax Number: 2626977771

Provider Business Practice Location Address:

Address: 10117 74TH ST SUITE 150
Kenosha, WI 53142
Phone Number: 2626977770
Fax Number: 2626977771

Provider Taxonomy:

Primary: 261QR0200X
Secondary (if any):
State: WI

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About Kenosha Radiology Center Llc.

Kenosha Radiology Center Llc. ( KENOSHA RADIOLOGY CENTER LLC. ) is Definition Clinic/Center Provider in Kenosha, WI. The NPI Number for Kenosha Radiology Center Llc. is 1770540130.
The current location address for Kenosha Radiology Center Llc. is 10117 74TH ST SUITE 150 Kenosha, WI 53142 and the contact number is 2626977770 and fax number is 2626977771. The mailing address for Kenosha Radiology Center Llc. is 10117 74TH ST SUITE 150 Kenosha, WI 53142- 2626977770 (mailing address contact number - 2626977770).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Kenosha Radiology Center Llc. ?


Answer: The NPI Number for Kenosha Radiology Center Llc. is 1770540130

Where is Kenosha Radiology Center Llc. located?


Answer: Kenosha Radiology Center Llc. is located at 10117 74TH ST SUITE 150 Kenosha, WI 53142.

What is the specialty for Kenosha Radiology Center Llc. ?


Answer: The Specialty of Kenosha Radiology Center Llc. is Definition Clinic/Center Provider.

Are there any online reviews for Kenosha Radiology Center Llc. ?


Answer: Not yet!

Are there any other health care providers in Kenosha, WI?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Kenosha Radiology Center Llc.

Number of HCPCS 131
Number of Medicare Beneficiaries 934
Number of Services 10446
Total Submitted Charge Amount 1418443.84
Total Medicare Allowed Amount 257472.59
Total Medicare Payment Amount 199720.84
Total Medicare Standardized Payment Amount 211011.71
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 4
Number of Medicare Beneficiaries With Drug Services 192
Number of Drug Services 8789
Total Drug Submitted Charge Amount 18125.34
Total Drug Medicare Allowed Amount 4654.5
Total Drug Medicare Payment Amount 3744.82
Total Drug Medicare Standardized Payment Amount 3749.21
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 127
Number of Medicare Beneficiaries With Medical 932
Number of Medical Services 1657
Total Medical Submitted Charge Amount 1400318.5
Total Medical Medicare Allowed Amount 252818.09
Total Medical Medicare Payment Amount 195976.02
Total Medical Medicare Standardized Payment Amount 207262.5
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65 94
Number of Beneficiaries Age 65 to 74 524
Number of Beneficiaries Age 75 to 84 261
Number of Beneficiaries Age Greater 84 55
Number of Female Beneficiaries 605
Number of Male Beneficiaries 329
Number of Non-Hispanic White Beneficiaries 847
Number of Black or African American Beneficiaries 16
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 28
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified 30
Number of Beneficiaries With Medicare & Medicaid Entitlement 81
Number of Beneficiaries With Medicare Only Entitlement 853
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.09
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.03
Percent (%) of Beneficiaries Identified With Asthma 0.08
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.08
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.25
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.11
Percent (%) of Beneficiaries Identified With Depression 0.2
Percent (%) of Beneficiaries Identified With Diabetes 0.26
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.57
Percent (%) of Beneficiaries Identified With Hypertension 0.63
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.28
Percent (%) of Beneficiaries Identified With Osteoporosis 0.11
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.57
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.04
Average HCC Risk Score of Beneficiaries 0.9261

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