National Provider Identifier [NPI]: |
1518991314 |
Last Name Of The Provider |
KIRSNER |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1475 NW 12 AVE |
Street Address 2 Of The Provider |
BOX 016960 (M851) |
City Of The Provider |
MIAMI |
Zip Code Of The Provider |
331016960 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
3266 |
Number Of Medicare Beneficiaries |
517 |
Total Submitted Charge Amount |
678083 |
Total Medicare Allowed Amount |
273669.98 |
Total Medicare Payment Amount |
207272.83 |
Total Medicare Standardized Payment Amount |
189392.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
208 |
Number Of Medicare Beneficiaries With Drug Services |
71 |
Total Drug Submitted ChargeAmount |
1716 |
Total Drug Medicare AllowedAmount |
373.78 |
Total Drug Medicare PaymentAmount |
268.85 |
Total Drug Medicare Standardized Payment Amount |
268.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
3058 |
Number Of Medicare Beneficiaries With Medical Services |
517 |
Total Medical Submitted Charge Amount |
676367 |
Total Medical Medicare Allowed Amount |
273296.2 |
Total Medical Medicare Payment Amount |
207003.98 |
Total Medical Medicare Standardized Payment Amount |
189124.03 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
221 |
Number Of Beneficiaries Age 75 to 84 |
158 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
271 |
Number Of Male Beneficiaries |
246 |
Number Of Non Hispanic White Beneficiaries |
332 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
132 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
375 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
142 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6788 |