National Provider Identifier [NPI]: |
1144201013 |
Last Name Of The Provider |
KUHLMAN |
First Name Of The Provider |
KURT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
939 W MARKET ST |
Street Address 2 Of The Provider |
STE 1 |
City Of The Provider |
LIMA |
Zip Code Of The Provider |
458052738 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
17676 |
Number Of Medicare Beneficiaries |
400 |
Total Submitted Charge Amount |
412476 |
Total Medicare Allowed Amount |
260893.76 |
Total Medicare Payment Amount |
192247.34 |
Total Medicare Standardized Payment Amount |
195963.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
15800 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
106650 |
Total Drug Medicare AllowedAmount |
86999.3 |
Total Drug Medicare PaymentAmount |
63137.94 |
Total Drug Medicare Standardized Payment Amount |
63137.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
1876 |
Number Of Medicare Beneficiaries With Medical Services |
400 |
Total Medical Submitted Charge Amount |
305826 |
Total Medical Medicare Allowed Amount |
173894.46 |
Total Medical Medicare Payment Amount |
129109.4 |
Total Medical Medicare Standardized Payment Amount |
132825.42 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
113 |
Number Of Beneficiaries Age 65 to 74 |
126 |
Number Of Beneficiaries Age 75 to 84 |
93 |
Number Of Beneficiaries Age Greater 84 |
68 |
Number Of Female Beneficiaries |
211 |
Number Of Male Beneficiaries |
189 |
Number Of Non Hispanic White Beneficiaries |
353 |
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 |
290 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
110 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
24 |
Average HCC Risk Score Of Beneficiaries |
1.6806 |