National Provider Identifier [NPI]: |
1881797231 |
Last Name Of The Provider |
KESSLER |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 WASHINGTON HEIGHTS MED CTR |
Street Address 2 Of The Provider |
|
City Of The Provider |
WESTMINSTER |
Zip Code Of The Provider |
211575633 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
3803 |
Number Of Medicare Beneficiaries |
1274 |
Total Submitted Charge Amount |
1081995 |
Total Medicare Allowed Amount |
617806.61 |
Total Medicare Payment Amount |
456657.44 |
Total Medicare Standardized Payment Amount |
439952.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
3803 |
Number Of Medicare Beneficiaries With Medical Services |
1274 |
Total Medical Submitted Charge Amount |
1081995 |
Total Medical Medicare Allowed Amount |
617806.61 |
Total Medical Medicare Payment Amount |
456657.44 |
Total Medical Medicare Standardized Payment Amount |
439952.47 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
593 |
Number Of Beneficiaries Age 75 to 84 |
440 |
Number Of Beneficiaries Age Greater 84 |
187 |
Number Of Female Beneficiaries |
795 |
Number Of Male Beneficiaries |
479 |
Number Of Non Hispanic White Beneficiaries |
1221 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1207 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
67 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0176 |