National Provider Identifier [NPI]: |
1073585212 |
Last Name Of The Provider |
KLEIN |
First Name Of The Provider |
BARRY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
215 WEST JANSS RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
THOUSAND OAKS |
Zip Code Of The Provider |
91360 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
243 |
Number Of Services |
11604 |
Number Of Medicare Beneficiaries |
2628 |
Total Submitted Charge Amount |
950262.5 |
Total Medicare Allowed Amount |
334975.98 |
Total Medicare Payment Amount |
261813.32 |
Total Medicare Standardized Payment Amount |
244287.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
6140 |
Number Of Medicare Beneficiaries With Drug Services |
70 |
Total Drug Submitted ChargeAmount |
6230 |
Total Drug Medicare AllowedAmount |
1664.59 |
Total Drug Medicare PaymentAmount |
1269.78 |
Total Drug Medicare Standardized Payment Amount |
1269.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
240 |
Number Of Medical Services |
5464 |
Number Of Medicare Beneficiaries With Medical Services |
2628 |
Total Medical Submitted Charge Amount |
944032.5 |
Total Medical Medicare Allowed Amount |
333311.39 |
Total Medical Medicare Payment Amount |
260543.54 |
Total Medical Medicare Standardized Payment Amount |
243018.1 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
168 |
Number Of Beneficiaries Age 65 to 74 |
953 |
Number Of Beneficiaries Age 75 to 84 |
846 |
Number Of Beneficiaries Age Greater 84 |
661 |
Number Of Female Beneficiaries |
1631 |
Number Of Male Beneficiaries |
997 |
Number Of Non Hispanic White Beneficiaries |
2268 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
110 |
Number Of Hispanic Beneficiaries |
156 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
65 |
Number Of Beneficiaries With Medicare Only Entitlement |
2285 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
343 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6656 |