National Provider Identifier [NPI]: |
1245344605 |
Last Name Of The Provider |
AKDUMAN |
First Name Of The Provider |
LEVENT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1755 S GRAND |
Street Address 2 Of The Provider |
|
City Of The Provider |
ST LOUIS |
Zip Code Of The Provider |
63104 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
4959 |
Number Of Medicare Beneficiaries |
583 |
Total Submitted Charge Amount |
1614877 |
Total Medicare Allowed Amount |
622665.47 |
Total Medicare Payment Amount |
464928.19 |
Total Medicare Standardized Payment Amount |
479886.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
270 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
335815 |
Total Drug Medicare AllowedAmount |
132169.94 |
Total Drug Medicare PaymentAmount |
100441.17 |
Total Drug Medicare Standardized Payment Amount |
100441.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
4689 |
Number Of Medicare Beneficiaries With Medical Services |
583 |
Total Medical Submitted Charge Amount |
1279062 |
Total Medical Medicare Allowed Amount |
490495.53 |
Total Medical Medicare Payment Amount |
364487.02 |
Total Medical Medicare Standardized Payment Amount |
379445.52 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
170 |
Number Of Beneficiaries Age 65 to 74 |
199 |
Number Of Beneficiaries Age 75 to 84 |
139 |
Number Of Beneficiaries Age Greater 84 |
75 |
Number Of Female Beneficiaries |
338 |
Number Of Male Beneficiaries |
245 |
Number Of Non Hispanic White Beneficiaries |
318 |
Number Of Black or African American Beneficiaries |
247 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
337 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
246 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.0379 |