National Provider Identifier [NPI]: |
1235132010 |
Last Name Of The Provider |
KAUFMAN |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8830 CAMERON ST. |
Street Address 2 Of The Provider |
SUITE 601 |
City Of The Provider |
SILVER SPRING |
Zip Code Of The Provider |
209104158 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
1991 |
Number Of Medicare Beneficiaries |
406 |
Total Submitted Charge Amount |
790668 |
Total Medicare Allowed Amount |
280298.24 |
Total Medicare Payment Amount |
209510.86 |
Total Medicare Standardized Payment Amount |
183277.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
124 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
22050 |
Total Drug Medicare AllowedAmount |
5442.4 |
Total Drug Medicare PaymentAmount |
4266.87 |
Total Drug Medicare Standardized Payment Amount |
4266.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
1867 |
Number Of Medicare Beneficiaries With Medical Services |
406 |
Total Medical Submitted Charge Amount |
768618 |
Total Medical Medicare Allowed Amount |
274855.84 |
Total Medical Medicare Payment Amount |
205243.99 |
Total Medical Medicare Standardized Payment Amount |
179010.72 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
140 |
Number Of Beneficiaries Age 75 to 84 |
164 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
225 |
Number Of Male Beneficiaries |
181 |
Number Of Non Hispanic White Beneficiaries |
269 |
Number Of Black or African American Beneficiaries |
102 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
381 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1906 |