National Provider Identifier [NPI]: |
1306861687 |
Last Name Of The Provider |
KRAUT |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4624 HALDER LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328146435 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
7070 |
Number Of Medicare Beneficiaries |
1227 |
Total Submitted Charge Amount |
2494512.86 |
Total Medicare Allowed Amount |
1510435.57 |
Total Medicare Payment Amount |
1162478.13 |
Total Medicare Standardized Payment Amount |
1163764.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1578 |
Number Of Medicare Beneficiaries With Drug Services |
108 |
Total Drug Submitted ChargeAmount |
1368636.7 |
Total Drug Medicare AllowedAmount |
983141.68 |
Total Drug Medicare PaymentAmount |
766994.18 |
Total Drug Medicare Standardized Payment Amount |
766994.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
5492 |
Number Of Medicare Beneficiaries With Medical Services |
1227 |
Total Medical Submitted Charge Amount |
1125876.16 |
Total Medical Medicare Allowed Amount |
527293.89 |
Total Medical Medicare Payment Amount |
395483.95 |
Total Medical Medicare Standardized Payment Amount |
396770.72 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
82 |
Number Of Beneficiaries Age 65 to 74 |
446 |
Number Of Beneficiaries Age 75 to 84 |
423 |
Number Of Beneficiaries Age Greater 84 |
276 |
Number Of Female Beneficiaries |
721 |
Number Of Male Beneficiaries |
506 |
Number Of Non Hispanic White Beneficiaries |
972 |
Number Of Black or African American Beneficiaries |
78 |
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
136 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1102 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
125 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.508 |