National Provider Identifier [NPI]: |
1790708261 |
Last Name Of The Provider |
KLEIN |
First Name Of The Provider |
AARON |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2500 QUANTUM LAKES DR |
Street Address 2 Of The Provider |
SUITE 215 |
City Of The Provider |
BOYNTON BEACH |
Zip Code Of The Provider |
334268324 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
12939 |
Number Of Medicare Beneficiaries |
988 |
Total Submitted Charge Amount |
1027966.28 |
Total Medicare Allowed Amount |
508405.86 |
Total Medicare Payment Amount |
406037.47 |
Total Medicare Standardized Payment Amount |
396769.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
467 |
Number Of Medicare Beneficiaries With Drug Services |
275 |
Total Drug Submitted ChargeAmount |
25087 |
Total Drug Medicare AllowedAmount |
10089.37 |
Total Drug Medicare PaymentAmount |
9492.5 |
Total Drug Medicare Standardized Payment Amount |
9492.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
12472 |
Number Of Medicare Beneficiaries With Medical Services |
988 |
Total Medical Submitted Charge Amount |
1002879.28 |
Total Medical Medicare Allowed Amount |
498316.49 |
Total Medical Medicare Payment Amount |
396544.97 |
Total Medical Medicare Standardized Payment Amount |
387276.7 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
308 |
Number Of Beneficiaries Age 75 to 84 |
368 |
Number Of Beneficiaries Age Greater 84 |
269 |
Number Of Female Beneficiaries |
539 |
Number Of Male Beneficiaries |
449 |
Number Of Non Hispanic White Beneficiaries |
965 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
941 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3532 |