National Provider Identifier [NPI]: |
1316918535 |
Last Name Of The Provider |
KRAMER |
First Name Of The Provider |
NEIL |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6116 E ARBOR AVE |
Street Address 2 Of The Provider |
SUITE 112 |
City Of The Provider |
MESA |
Zip Code Of The Provider |
852066107 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
6759 |
Number Of Medicare Beneficiaries |
1547 |
Total Submitted Charge Amount |
1191951 |
Total Medicare Allowed Amount |
586877.52 |
Total Medicare Payment Amount |
440576.9 |
Total Medicare Standardized Payment Amount |
447853.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
351 |
Number Of Medicare Beneficiaries With Drug Services |
94 |
Total Drug Submitted ChargeAmount |
34102 |
Total Drug Medicare AllowedAmount |
17266.34 |
Total Drug Medicare PaymentAmount |
13139.77 |
Total Drug Medicare Standardized Payment Amount |
13139.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
99 |
Number Of Medical Services |
6408 |
Number Of Medicare Beneficiaries With Medical Services |
1547 |
Total Medical Submitted Charge Amount |
1157849 |
Total Medical Medicare Allowed Amount |
569611.18 |
Total Medical Medicare Payment Amount |
427437.13 |
Total Medical Medicare Standardized Payment Amount |
434714.17 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
113 |
Number Of Beneficiaries Age 65 to 74 |
609 |
Number Of Beneficiaries Age 75 to 84 |
554 |
Number Of Beneficiaries Age Greater 84 |
271 |
Number Of Female Beneficiaries |
729 |
Number Of Male Beneficiaries |
818 |
Number Of Non Hispanic White Beneficiaries |
1404 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
74 |
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1415 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
132 |
Percent Of With Atrial Fibrillation |
37 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.7634 |