National Provider Identifier [NPI]: |
1013008283 |
Last Name Of The Provider |
KURI |
First Name Of The Provider |
KALIFE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1933 NE LOOP 410 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
78217 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
4900 |
Number Of Medicare Beneficiaries |
1365 |
Total Submitted Charge Amount |
1367620.96 |
Total Medicare Allowed Amount |
440004.68 |
Total Medicare Payment Amount |
321221.12 |
Total Medicare Standardized Payment Amount |
343061.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
236 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
31067.5 |
Total Drug Medicare AllowedAmount |
12437 |
Total Drug Medicare PaymentAmount |
9708.84 |
Total Drug Medicare Standardized Payment Amount |
9708.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
4664 |
Number Of Medicare Beneficiaries With Medical Services |
1365 |
Total Medical Submitted Charge Amount |
1336553.46 |
Total Medical Medicare Allowed Amount |
427567.68 |
Total Medical Medicare Payment Amount |
311512.28 |
Total Medical Medicare Standardized Payment Amount |
333352.87 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
550 |
Number Of Beneficiaries Age 75 to 84 |
478 |
Number Of Beneficiaries Age Greater 84 |
248 |
Number Of Female Beneficiaries |
726 |
Number Of Male Beneficiaries |
639 |
Number Of Non Hispanic White Beneficiaries |
1049 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
258 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1208 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
157 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.3883 |