National Provider Identifier [NPI]: |
1295773059 |
Last Name Of The Provider |
KLEIN |
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 |
6050 CATTLERIDGE BLVD STE 201 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342326028 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hand Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
156 |
Number Of Services |
4991 |
Number Of Medicare Beneficiaries |
711 |
Total Submitted Charge Amount |
902691.46 |
Total Medicare Allowed Amount |
360448.02 |
Total Medicare Payment Amount |
271168.7 |
Total Medicare Standardized Payment Amount |
266949.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1268 |
Number Of Medicare Beneficiaries With Drug Services |
237 |
Total Drug Submitted ChargeAmount |
37351 |
Total Drug Medicare AllowedAmount |
29564.61 |
Total Drug Medicare PaymentAmount |
23018.54 |
Total Drug Medicare Standardized Payment Amount |
23018.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
151 |
Number Of Medical Services |
3723 |
Number Of Medicare Beneficiaries With Medical Services |
711 |
Total Medical Submitted Charge Amount |
865340.46 |
Total Medical Medicare Allowed Amount |
330883.41 |
Total Medical Medicare Payment Amount |
248150.16 |
Total Medical Medicare Standardized Payment Amount |
243931.24 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
331 |
Number Of Beneficiaries Age 75 to 84 |
229 |
Number Of Beneficiaries Age Greater 84 |
121 |
Number Of Female Beneficiaries |
406 |
Number Of Male Beneficiaries |
305 |
Number Of Non Hispanic White Beneficiaries |
679 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
676 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1158 |