| National Provider Identifier [NPI]: | 1760587588 |
| Last Name Of The Provider | KETOVER |
| First Name Of The Provider | BART |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 72057 DINAH SHORE DR |
| Street Address 2 Of The Provider | SUITE D |
| City Of The Provider | RANCHO MIRAGE |
| Zip Code Of The Provider | 922701791 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Ophthalmology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 36 |
| Number Of Services | 7793 |
| Number Of Medicare Beneficiaries | 3477 |
| Total Submitted Charge Amount | 2598691 |
| Total Medicare Allowed Amount | 1282032.63 |
| Total Medicare Payment Amount | 935898.66 |
| Total Medicare Standardized Payment Amount | 905286.48 |
| 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 | 36 |
| Number Of Medical Services | 7793 |
| Number Of Medicare Beneficiaries With Medical Services | 3477 |
| Total Medical Submitted Charge Amount | 2598691 |
| Total Medical Medicare Allowed Amount | 1282032.63 |
| Total Medical Medicare Payment Amount | 935898.66 |
| Total Medical Medicare Standardized Payment Amount | 905286.48 |
| Average Age Of Beneficiaries | 79 |
| Number Of Beneficiaries Age Less65 | 25 |
| Number Of Beneficiaries Age 65 to 74 | 1019 |
| Number Of Beneficiaries Age 75 to 84 | 1641 |
| Number Of Beneficiaries Age Greater 84 | 792 |
| Number Of Female Beneficiaries | 1927 |
| Number Of Male Beneficiaries | 1550 |
| Number Of Non Hispanic White Beneficiaries | 3275 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 34 |
| Number Of Hispanic Beneficiaries | 107 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 32 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3410 |
| 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 | 4 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 13 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 10 |
| Percent Of With Depression | 12 |
| Percent Of With Diabetes | 22 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 63 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.0948 |