National Provider Identifier [NPI]: |
1912907122 |
Last Name Of The Provider |
KASPER |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5800 49TH ST N |
Street Address 2 Of The Provider |
S-109 |
City Of The Provider |
ST PETERSBURG |
Zip Code Of The Provider |
337092146 |
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 |
42 |
Number Of Services |
11990 |
Number Of Medicare Beneficiaries |
856 |
Total Submitted Charge Amount |
4213391.61 |
Total Medicare Allowed Amount |
3295659.32 |
Total Medicare Payment Amount |
2561878.05 |
Total Medicare Standardized Payment Amount |
2557600.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
5839 |
Number Of Medicare Beneficiaries With Drug Services |
232 |
Total Drug Submitted ChargeAmount |
3221458.7 |
Total Drug Medicare AllowedAmount |
2754974.33 |
Total Drug Medicare PaymentAmount |
2157888.27 |
Total Drug Medicare Standardized Payment Amount |
2157888.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
6151 |
Number Of Medicare Beneficiaries With Medical Services |
856 |
Total Medical Submitted Charge Amount |
991932.91 |
Total Medical Medicare Allowed Amount |
540684.99 |
Total Medical Medicare Payment Amount |
403989.78 |
Total Medical Medicare Standardized Payment Amount |
399711.89 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
232 |
Number Of Beneficiaries Age 75 to 84 |
296 |
Number Of Beneficiaries Age Greater 84 |
295 |
Number Of Female Beneficiaries |
530 |
Number Of Male Beneficiaries |
326 |
Number Of Non Hispanic White Beneficiaries |
752 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
63 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
769 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
87 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4038 |