National Provider Identifier [NPI]: |
1649267790 |
Last Name Of The Provider |
KRANC |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D., PHD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2500 STARLING ST |
Street Address 2 Of The Provider |
SUITE 602 |
City Of The Provider |
BRUNSWICK |
Zip Code Of The Provider |
315204219 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
4384 |
Number Of Medicare Beneficiaries |
884 |
Total Submitted Charge Amount |
731347.5 |
Total Medicare Allowed Amount |
223019.96 |
Total Medicare Payment Amount |
163667.67 |
Total Medicare Standardized Payment Amount |
173116.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
296 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
85652.5 |
Total Drug Medicare AllowedAmount |
22474.08 |
Total Drug Medicare PaymentAmount |
17178.94 |
Total Drug Medicare Standardized Payment Amount |
17178.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
4088 |
Number Of Medicare Beneficiaries With Medical Services |
884 |
Total Medical Submitted Charge Amount |
645695 |
Total Medical Medicare Allowed Amount |
200545.88 |
Total Medical Medicare Payment Amount |
146488.73 |
Total Medical Medicare Standardized Payment Amount |
155937.89 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
407 |
Number Of Beneficiaries Age 75 to 84 |
293 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
228 |
Number Of Male Beneficiaries |
656 |
Number Of Non Hispanic White Beneficiaries |
759 |
Number Of Black or African American Beneficiaries |
99 |
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 |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
784 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1439 |