National Provider Identifier [NPI]: |
1487614293 |
Last Name Of The Provider |
KUTTNER |
First Name Of The Provider |
BARRY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D., PH.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1840 FOREST HILL BLVD |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
WEST PALM BEACH |
Zip Code Of The Provider |
334066063 |
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 |
62 |
Number Of Services |
8483 |
Number Of Medicare Beneficiaries |
974 |
Total Submitted Charge Amount |
608948.05 |
Total Medicare Allowed Amount |
491593.79 |
Total Medicare Payment Amount |
368682.13 |
Total Medicare Standardized Payment Amount |
324549.39 |
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 |
62 |
Number Of Medical Services |
8483 |
Number Of Medicare Beneficiaries With Medical Services |
974 |
Total Medical Submitted Charge Amount |
608948.05 |
Total Medical Medicare Allowed Amount |
491593.79 |
Total Medical Medicare Payment Amount |
368682.13 |
Total Medical Medicare Standardized Payment Amount |
324549.39 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
320 |
Number Of Beneficiaries Age 75 to 84 |
331 |
Number Of Beneficiaries Age Greater 84 |
276 |
Number Of Female Beneficiaries |
536 |
Number Of Male Beneficiaries |
438 |
Number Of Non Hispanic White Beneficiaries |
889 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
52 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
854 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
120 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2209 |