National Provider Identifier [NPI]: |
1497729602 |
Last Name Of The Provider |
ROBINSON |
First Name Of The Provider |
KEVIN |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 COTTMAN AVE |
Street Address 2 Of The Provider |
BLDG. A, SUITE 102 |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191113062 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
3918 |
Number Of Medicare Beneficiaries |
1783 |
Total Submitted Charge Amount |
868764 |
Total Medicare Allowed Amount |
184616.19 |
Total Medicare Payment Amount |
138528.19 |
Total Medicare Standardized Payment Amount |
132071.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
250 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
2000 |
Total Drug Medicare AllowedAmount |
203.71 |
Total Drug Medicare PaymentAmount |
156.67 |
Total Drug Medicare Standardized Payment Amount |
156.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
3668 |
Number Of Medicare Beneficiaries With Medical Services |
1783 |
Total Medical Submitted Charge Amount |
866764 |
Total Medical Medicare Allowed Amount |
184412.48 |
Total Medical Medicare Payment Amount |
138371.52 |
Total Medical Medicare Standardized Payment Amount |
131915.17 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
262 |
Number Of Beneficiaries Age 65 to 74 |
763 |
Number Of Beneficiaries Age 75 to 84 |
481 |
Number Of Beneficiaries Age Greater 84 |
277 |
Number Of Female Beneficiaries |
924 |
Number Of Male Beneficiaries |
859 |
Number Of Non Hispanic White Beneficiaries |
1396 |
Number Of Black or African American Beneficiaries |
250 |
Number Of AsianPacific Islander Beneficiaries |
43 |
Number Of Hispanic Beneficiaries |
56 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1345 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
438 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
33 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.9221 |