| National Provider Identifier [NPI]: | 1578541900 |
| Last Name Of The Provider | KAHLE |
| First Name Of The Provider | ERIC |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 6880 PALM AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | SEBASTOPOL |
| Zip Code Of The Provider | 954724270 |
| 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 | 109 |
| Number Of Services | 11162 |
| Number Of Medicare Beneficiaries | 2326 |
| Total Submitted Charge Amount | 2177872.5 |
| Total Medicare Allowed Amount | 1611867.15 |
| Total Medicare Payment Amount | 1207520.92 |
| Total Medicare Standardized Payment Amount | 1170678.25 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 1455 |
| Number Of Medicare Beneficiaries With Drug Services | 55 |
| Total Drug Submitted ChargeAmount | 501665 |
| Total Drug Medicare AllowedAmount | 478155.94 |
| Total Drug Medicare PaymentAmount | 374637.81 |
| Total Drug Medicare Standardized Payment Amount | 374637.81 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 103 |
| Number Of Medical Services | 9707 |
| Number Of Medicare Beneficiaries With Medical Services | 2326 |
| Total Medical Submitted Charge Amount | 1676207.5 |
| Total Medical Medicare Allowed Amount | 1133711.21 |
| Total Medical Medicare Payment Amount | 832883.11 |
| Total Medical Medicare Standardized Payment Amount | 796040.44 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 246 |
| Number Of Beneficiaries Age 65 to 74 | 957 |
| Number Of Beneficiaries Age 75 to 84 | 725 |
| Number Of Beneficiaries Age Greater 84 | 398 |
| Number Of Female Beneficiaries | 1450 |
| Number Of Male Beneficiaries | 876 |
| Number Of Non Hispanic White Beneficiaries | 2085 |
| Number Of Black or African American Beneficiaries | 43 |
| Number Of AsianPacific Islander Beneficiaries | 39 |
| Number Of Hispanic Beneficiaries | 112 |
| Number Of American Indian Alaska Native Beneficiaries | 14 |
| Number Of Beneficiaries With Race Not Else where Classified | 33 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1765 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 561 |
| Percent Of With Atrial Fibrillation | 9 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 8 |
| Percent Of With Heart Failure | 15 |
| Percent Of With Chronic Kidney Disease | 15 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 25 |
| Percent Of With Hyperlipidemia | 47 |
| Percent Of With Hypertension | 57 |
| Percent Of With Ischemic Heart Disease | 30 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 34 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 1.0452 |