Medicare Facts for Dr. Kelvin D. Higa, MD


National Provider Identifier [NPI]: 1356304224
Last Name Of The Provider HIGA
First Name Of The Provider KELVIN
Middle Initial Of The Provider D
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 205 E RIVER PARK CIR
Street Address 2 Of The Provider SUITE 460
City Of The Provider FRESNO
Zip Code Of The Provider 937201571
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider General Surgery
Medicare Participation Indicator Y
Number Of HCPCS 69
Number Of Services 1227
Number Of Medicare Beneficiaries 469
Total Submitted Charge Amount 1237908
Total Medicare Allowed Amount 323591.59
Total Medicare Payment Amount 246849.56
Total Medicare Standardized Payment Amount 250346.52
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 69
Number Of Medical Services 1227
Number Of Medicare Beneficiaries With Medical Services 469
Total Medical Submitted Charge Amount 1237908
Total Medical Medicare Allowed Amount 323591.59
Total Medical Medicare Payment Amount 246849.56
Total Medical Medicare Standardized Payment Amount 250346.52
Average Age Of Beneficiaries 66
Number Of Beneficiaries Age Less65 149
Number Of Beneficiaries Age 65 to 74 241
Number Of Beneficiaries Age 75 to 84 63
Number Of Beneficiaries Age Greater 84 16
Number Of Female Beneficiaries 333
Number Of Male Beneficiaries 136
Number Of Non Hispanic White Beneficiaries 339
Number Of Black or African American Beneficiaries 19
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 97
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 364
Number Of Beneficiaries With Medicare Medicaid Entitlement 105
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma 18
Percent Of With Cancer 8
Percent Of With Heart Failure 16
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 31
Percent Of With Diabetes 46
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 69
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 49
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.3652

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