National Provider Identifier [NPI]: |
1619974391 |
Last Name Of The Provider |
KAZAHAYA |
First Name Of The Provider |
MASAYUKI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1251 S CEDAR CREST BLVD |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
ALLENTOWN |
Zip Code Of The Provider |
181036205 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
9977 |
Number Of Medicare Beneficiaries |
1329 |
Total Submitted Charge Amount |
3591270.3 |
Total Medicare Allowed Amount |
2621153.43 |
Total Medicare Payment Amount |
2011450.35 |
Total Medicare Standardized Payment Amount |
2032297.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
2828 |
Number Of Medicare Beneficiaries With Drug Services |
314 |
Total Drug Submitted ChargeAmount |
2174715 |
Total Drug Medicare AllowedAmount |
1924166.85 |
Total Drug Medicare PaymentAmount |
1507127.64 |
Total Drug Medicare Standardized Payment Amount |
1507127.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
7149 |
Number Of Medicare Beneficiaries With Medical Services |
1329 |
Total Medical Submitted Charge Amount |
1416555.3 |
Total Medical Medicare Allowed Amount |
696986.58 |
Total Medical Medicare Payment Amount |
504322.71 |
Total Medical Medicare Standardized Payment Amount |
525169.85 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
88 |
Number Of Beneficiaries Age 65 to 74 |
430 |
Number Of Beneficiaries Age 75 to 84 |
483 |
Number Of Beneficiaries Age Greater 84 |
328 |
Number Of Female Beneficiaries |
744 |
Number Of Male Beneficiaries |
585 |
Number Of Non Hispanic White Beneficiaries |
1246 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1262 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
67 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.451 |