National Provider Identifier [NPI]: |
1033146147 |
Last Name Of The Provider |
KRAUS |
First Name Of The Provider |
CHARLES |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2600 TUSCARAWAS ST W |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
CANTON |
Zip Code Of The Provider |
447084644 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
2965 |
Number Of Medicare Beneficiaries |
840 |
Total Submitted Charge Amount |
405628 |
Total Medicare Allowed Amount |
227679.67 |
Total Medicare Payment Amount |
167505.02 |
Total Medicare Standardized Payment Amount |
172387.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
442 |
Number Of Medicare Beneficiaries With Drug Services |
53 |
Total Drug Submitted ChargeAmount |
171382 |
Total Drug Medicare AllowedAmount |
92371.08 |
Total Drug Medicare PaymentAmount |
71189.06 |
Total Drug Medicare Standardized Payment Amount |
71189.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
2523 |
Number Of Medicare Beneficiaries With Medical Services |
840 |
Total Medical Submitted Charge Amount |
234246 |
Total Medical Medicare Allowed Amount |
135308.59 |
Total Medical Medicare Payment Amount |
96315.96 |
Total Medical Medicare Standardized Payment Amount |
101198.54 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
309 |
Number Of Beneficiaries Age 75 to 84 |
292 |
Number Of Beneficiaries Age Greater 84 |
185 |
Number Of Female Beneficiaries |
93 |
Number Of Male Beneficiaries |
747 |
Number Of Non Hispanic White Beneficiaries |
788 |
Number Of Black or African American Beneficiaries |
27 |
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 |
771 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
69 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
27 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2236 |