National Provider Identifier [NPI]: |
1174936736 |
Last Name Of The Provider |
NG |
First Name Of The Provider |
KEVIN |
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 |
1001 BRIGGS RD STE 250 |
Street Address 2 Of The Provider |
|
City Of The Provider |
MOUNT LAUREL |
Zip Code Of The Provider |
080544111 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
16 |
Number Of Services |
12421 |
Number Of Medicare Beneficiaries |
261 |
Total Submitted Charge Amount |
221613.07 |
Total Medicare Allowed Amount |
94273.18 |
Total Medicare Payment Amount |
73792.56 |
Total Medicare Standardized Payment Amount |
65594.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
11617 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
37478.32 |
Total Drug Medicare AllowedAmount |
9746.8 |
Total Drug Medicare PaymentAmount |
7640.51 |
Total Drug Medicare Standardized Payment Amount |
7640.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
10 |
Number Of Medical Services |
804 |
Number Of Medicare Beneficiaries With Medical Services |
261 |
Total Medical Submitted Charge Amount |
184134.75 |
Total Medical Medicare Allowed Amount |
84526.38 |
Total Medical Medicare Payment Amount |
66152.05 |
Total Medical Medicare Standardized Payment Amount |
57954.38 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
85 |
Number Of Beneficiaries Age 75 to 84 |
83 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
138 |
Number Of Male Beneficiaries |
123 |
Number Of Non Hispanic White Beneficiaries |
217 |
Number Of Black or African American Beneficiaries |
28 |
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 |
218 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
65 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.3333 |