National Provider Identifier [NPI]: |
1730188038 |
Last Name Of The Provider |
KU |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 MOUNT AUBURN ST |
Street Address 2 Of The Provider |
SUITE 519 |
City Of The Provider |
CAMBRIDGE |
Zip Code Of The Provider |
021385600 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
1858 |
Number Of Medicare Beneficiaries |
473 |
Total Submitted Charge Amount |
413054.5 |
Total Medicare Allowed Amount |
176591.84 |
Total Medicare Payment Amount |
131097.48 |
Total Medicare Standardized Payment Amount |
123864.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
166 |
Number Of Medicare Beneficiaries With Drug Services |
39 |
Total Drug Submitted ChargeAmount |
80382 |
Total Drug Medicare AllowedAmount |
30370.39 |
Total Drug Medicare PaymentAmount |
23214.67 |
Total Drug Medicare Standardized Payment Amount |
23214.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
1692 |
Number Of Medicare Beneficiaries With Medical Services |
473 |
Total Medical Submitted Charge Amount |
332672.5 |
Total Medical Medicare Allowed Amount |
146221.45 |
Total Medical Medicare Payment Amount |
107882.81 |
Total Medical Medicare Standardized Payment Amount |
100650.3 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
232 |
Number Of Beneficiaries Age 75 to 84 |
141 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
80 |
Number Of Male Beneficiaries |
393 |
Number Of Non Hispanic White Beneficiaries |
416 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
406 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
67 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1931 |