National Provider Identifier [NPI]: |
1942212956 |
Last Name Of The Provider |
KAHN |
First Name Of The Provider |
MITCHELL |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3554 HULMEVILLE RD |
Street Address 2 Of The Provider |
SUITE 104 |
City Of The Provider |
BENSALEM |
Zip Code Of The Provider |
190204366 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
2093 |
Number Of Medicare Beneficiaries |
207 |
Total Submitted Charge Amount |
192360 |
Total Medicare Allowed Amount |
94021.4 |
Total Medicare Payment Amount |
68765.38 |
Total Medicare Standardized Payment Amount |
64916.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
547 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
8690 |
Total Drug Medicare AllowedAmount |
139.54 |
Total Drug Medicare PaymentAmount |
105.7 |
Total Drug Medicare Standardized Payment Amount |
105.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
1546 |
Number Of Medicare Beneficiaries With Medical Services |
207 |
Total Medical Submitted Charge Amount |
183670 |
Total Medical Medicare Allowed Amount |
93881.86 |
Total Medical Medicare Payment Amount |
68659.68 |
Total Medical Medicare Standardized Payment Amount |
64811.07 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
102 |
Number Of Beneficiaries Age 75 to 84 |
57 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
120 |
Number Of Male Beneficiaries |
87 |
Number Of Non Hispanic White Beneficiaries |
193 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
196 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2047 |