National Provider Identifier [NPI]: |
1861460792 |
Last Name Of The Provider |
KASSEL |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6750 E BAYWOOD AVE |
Street Address 2 Of The Provider |
301 |
City Of The Provider |
MESA |
Zip Code Of The Provider |
852061749 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
5022 |
Number Of Medicare Beneficiaries |
1293 |
Total Submitted Charge Amount |
628204.25 |
Total Medicare Allowed Amount |
310757.36 |
Total Medicare Payment Amount |
233355.58 |
Total Medicare Standardized Payment Amount |
238451.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
332 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
34963.25 |
Total Drug Medicare AllowedAmount |
17430.93 |
Total Drug Medicare PaymentAmount |
12984.69 |
Total Drug Medicare Standardized Payment Amount |
12984.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
4690 |
Number Of Medicare Beneficiaries With Medical Services |
1292 |
Total Medical Submitted Charge Amount |
593241 |
Total Medical Medicare Allowed Amount |
293326.43 |
Total Medical Medicare Payment Amount |
220370.89 |
Total Medical Medicare Standardized Payment Amount |
225466.69 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
514 |
Number Of Beneficiaries Age 75 to 84 |
475 |
Number Of Beneficiaries Age Greater 84 |
236 |
Number Of Female Beneficiaries |
613 |
Number Of Male Beneficiaries |
680 |
Number Of Non Hispanic White Beneficiaries |
1182 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
56 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1209 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
84 |
Percent Of With Atrial Fibrillation |
45 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.5843 |