National Provider Identifier [NPI]: |
1225193121 |
Last Name Of The Provider |
KAHAN |
First Name Of The Provider |
JULIA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
555 KNOWLES DR |
Street Address 2 Of The Provider |
207 |
City Of The Provider |
LOS GATOS |
Zip Code Of The Provider |
950321549 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
2332 |
Number Of Medicare Beneficiaries |
237 |
Total Submitted Charge Amount |
306275.21 |
Total Medicare Allowed Amount |
141391.94 |
Total Medicare Payment Amount |
106330.72 |
Total Medicare Standardized Payment Amount |
91410.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1142 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
28580 |
Total Drug Medicare AllowedAmount |
14137.3 |
Total Drug Medicare PaymentAmount |
10895.08 |
Total Drug Medicare Standardized Payment Amount |
10895.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
1190 |
Number Of Medicare Beneficiaries With Medical Services |
237 |
Total Medical Submitted Charge Amount |
277695.21 |
Total Medical Medicare Allowed Amount |
127254.64 |
Total Medical Medicare Payment Amount |
95435.64 |
Total Medical Medicare Standardized Payment Amount |
80515.23 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
124 |
Number Of Beneficiaries Age 75 to 84 |
87 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
174 |
Number Of Male Beneficiaries |
63 |
Number Of Non Hispanic White Beneficiaries |
200 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
224 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
51 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7857 |