National Provider Identifier [NPI]: |
1740231687 |
Last Name Of The Provider |
FURMAN |
First Name Of The Provider |
CHRISTIAN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
215 CENTRAL AVE |
Street Address 2 Of The Provider |
102 |
City Of The Provider |
LOUISVILLE |
Zip Code Of The Provider |
402081418 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Geriatric Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
1074 |
Number Of Medicare Beneficiaries |
391 |
Total Submitted Charge Amount |
176637.28 |
Total Medicare Allowed Amount |
101165.63 |
Total Medicare Payment Amount |
75125.99 |
Total Medicare Standardized Payment Amount |
79873.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
36 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
1205 |
Total Drug Medicare AllowedAmount |
460.42 |
Total Drug Medicare PaymentAmount |
427.21 |
Total Drug Medicare Standardized Payment Amount |
427.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
1038 |
Number Of Medicare Beneficiaries With Medical Services |
391 |
Total Medical Submitted Charge Amount |
175432.28 |
Total Medical Medicare Allowed Amount |
100705.21 |
Total Medical Medicare Payment Amount |
74698.78 |
Total Medical Medicare Standardized Payment Amount |
79446.55 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
73 |
Number Of Beneficiaries Age 75 to 84 |
147 |
Number Of Beneficiaries Age Greater 84 |
152 |
Number Of Female Beneficiaries |
272 |
Number Of Male Beneficiaries |
119 |
Number Of Non Hispanic White Beneficiaries |
319 |
Number Of Black or African American Beneficiaries |
|
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 |
296 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
95 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
53 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
20 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.8309 |