National Provider Identifier [NPI]: |
1467431692 |
Last Name Of The Provider |
KYFF |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4100 PARK FOREST DR |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
TRAVERSE CITY |
Zip Code Of The Provider |
496847331 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
383 |
Number Of Medicare Beneficiaries |
337 |
Total Submitted Charge Amount |
467103.5 |
Total Medicare Allowed Amount |
72399.36 |
Total Medicare Payment Amount |
56064.62 |
Total Medicare Standardized Payment Amount |
57100.09 |
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 |
87 |
Number Of Medical Services |
383 |
Number Of Medicare Beneficiaries With Medical Services |
337 |
Total Medical Submitted Charge Amount |
467103.5 |
Total Medical Medicare Allowed Amount |
72399.36 |
Total Medical Medicare Payment Amount |
56064.62 |
Total Medical Medicare Standardized Payment Amount |
57100.09 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
146 |
Number Of Beneficiaries Age 75 to 84 |
92 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
166 |
Number Of Male Beneficiaries |
171 |
Number Of Non Hispanic White Beneficiaries |
320 |
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 |
252 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
85 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.4661 |