National Provider Identifier [NPI]: |
1386625952 |
Last Name Of The Provider |
KAISER |
First Name Of The Provider |
KIRK |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
555 N ARLINGTON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
RENO |
Zip Code Of The Provider |
895034723 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
138 |
Number Of Services |
2716 |
Number Of Medicare Beneficiaries |
497 |
Total Submitted Charge Amount |
1038561 |
Total Medicare Allowed Amount |
261358.78 |
Total Medicare Payment Amount |
194956.35 |
Total Medicare Standardized Payment Amount |
191557.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
745 |
Number Of Medicare Beneficiaries With Drug Services |
158 |
Total Drug Submitted ChargeAmount |
22930 |
Total Drug Medicare AllowedAmount |
16043.29 |
Total Drug Medicare PaymentAmount |
12479.54 |
Total Drug Medicare Standardized Payment Amount |
12479.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
136 |
Number Of Medical Services |
1971 |
Number Of Medicare Beneficiaries With Medical Services |
497 |
Total Medical Submitted Charge Amount |
1015631 |
Total Medical Medicare Allowed Amount |
245315.49 |
Total Medical Medicare Payment Amount |
182476.81 |
Total Medical Medicare Standardized Payment Amount |
179078.25 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
281 |
Number Of Beneficiaries Age 75 to 84 |
107 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
281 |
Number Of Male Beneficiaries |
216 |
Number Of Non Hispanic White Beneficiaries |
445 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
428 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
69 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9934 |