National Provider Identifier [NPI]: |
1437151065 |
Last Name Of The Provider |
KRITCHMAN |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6280 W SAMPLE RD |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
CORAL SPRINGS |
Zip Code Of The Provider |
330673173 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
5019 |
Number Of Medicare Beneficiaries |
1676 |
Total Submitted Charge Amount |
852620 |
Total Medicare Allowed Amount |
639503.72 |
Total Medicare Payment Amount |
458710.11 |
Total Medicare Standardized Payment Amount |
503041.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
188 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
31600 |
Total Drug Medicare AllowedAmount |
28046.56 |
Total Drug Medicare PaymentAmount |
21988.44 |
Total Drug Medicare Standardized Payment Amount |
21988.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
4831 |
Number Of Medicare Beneficiaries With Medical Services |
1676 |
Total Medical Submitted Charge Amount |
821020 |
Total Medical Medicare Allowed Amount |
611457.16 |
Total Medical Medicare Payment Amount |
436721.67 |
Total Medical Medicare Standardized Payment Amount |
481052.91 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
180 |
Number Of Beneficiaries Age 65 to 74 |
647 |
Number Of Beneficiaries Age 75 to 84 |
586 |
Number Of Beneficiaries Age Greater 84 |
263 |
Number Of Female Beneficiaries |
951 |
Number Of Male Beneficiaries |
725 |
Number Of Non Hispanic White Beneficiaries |
1523 |
Number Of Black or African American Beneficiaries |
118 |
Number Of AsianPacific Islander Beneficiaries |
19 |
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 |
1428 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
248 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4691 |