National Provider Identifier [NPI]: |
1932374980 |
Last Name Of The Provider |
KEFELA |
First Name Of The Provider |
ARON |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
144 BILL CARRUTH PKWY |
Street Address 2 Of The Provider |
SUITE 3100 |
City Of The Provider |
HIRAM |
Zip Code Of The Provider |
301413749 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
20181 |
Number Of Medicare Beneficiaries |
321 |
Total Submitted Charge Amount |
1023891 |
Total Medicare Allowed Amount |
328281.29 |
Total Medicare Payment Amount |
253100.8 |
Total Medicare Standardized Payment Amount |
251969.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
47 |
Number Of Drug Services |
18538 |
Number Of Medicare Beneficiaries With Drug Services |
114 |
Total Drug Submitted ChargeAmount |
779584 |
Total Drug Medicare AllowedAmount |
252287.64 |
Total Drug Medicare PaymentAmount |
193654.11 |
Total Drug Medicare Standardized Payment Amount |
193654.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
1643 |
Number Of Medicare Beneficiaries With Medical Services |
321 |
Total Medical Submitted Charge Amount |
244307 |
Total Medical Medicare Allowed Amount |
75993.65 |
Total Medical Medicare Payment Amount |
59446.69 |
Total Medical Medicare Standardized Payment Amount |
58315.06 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
143 |
Number Of Beneficiaries Age 75 to 84 |
82 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
175 |
Number Of Male Beneficiaries |
146 |
Number Of Non Hispanic White Beneficiaries |
233 |
Number Of Black or African American Beneficiaries |
74 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
259 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
34 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.0424 |