National Provider Identifier [NPI]: |
1033118328 |
Last Name Of The Provider |
KAUFFMAN |
First Name Of The Provider |
CATHARINE |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3301 NEW MEXICO AVE NW |
Street Address 2 Of The Provider |
SUITE #210 |
City Of The Provider |
WASHINGTON |
Zip Code Of The Provider |
200163622 |
State Code Of The Provider |
DC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
5176 |
Number Of Medicare Beneficiaries |
1136 |
Total Submitted Charge Amount |
574197 |
Total Medicare Allowed Amount |
204527.78 |
Total Medicare Payment Amount |
153581.57 |
Total Medicare Standardized Payment Amount |
124681.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
12 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
3432 |
Total Drug Medicare AllowedAmount |
2968.8 |
Total Drug Medicare PaymentAmount |
2077.71 |
Total Drug Medicare Standardized Payment Amount |
2077.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
5164 |
Number Of Medicare Beneficiaries With Medical Services |
1136 |
Total Medical Submitted Charge Amount |
570765 |
Total Medical Medicare Allowed Amount |
201558.98 |
Total Medical Medicare Payment Amount |
151503.86 |
Total Medical Medicare Standardized Payment Amount |
122603.61 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
417 |
Number Of Beneficiaries Age 75 to 84 |
465 |
Number Of Beneficiaries Age Greater 84 |
221 |
Number Of Female Beneficiaries |
612 |
Number Of Male Beneficiaries |
524 |
Number Of Non Hispanic White Beneficiaries |
1073 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1099 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
37 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0185 |