National Provider Identifier [NPI]: |
1265465157 |
Last Name Of The Provider |
KILAMBI |
First Name Of The Provider |
NAVIN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
225 ABRAHAM FLEXNER WAY |
Street Address 2 Of The Provider |
SUITE 403 |
City Of The Provider |
LOUISVILLE |
Zip Code Of The Provider |
402021846 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
2607 |
Number Of Medicare Beneficiaries |
271 |
Total Submitted Charge Amount |
197554.39 |
Total Medicare Allowed Amount |
94252.19 |
Total Medicare Payment Amount |
69143.22 |
Total Medicare Standardized Payment Amount |
76038.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1741 |
Number Of Medicare Beneficiaries With Drug Services |
104 |
Total Drug Submitted ChargeAmount |
50141 |
Total Drug Medicare AllowedAmount |
26258.01 |
Total Drug Medicare PaymentAmount |
20517.72 |
Total Drug Medicare Standardized Payment Amount |
20517.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
866 |
Number Of Medicare Beneficiaries With Medical Services |
271 |
Total Medical Submitted Charge Amount |
147413.39 |
Total Medical Medicare Allowed Amount |
67994.18 |
Total Medical Medicare Payment Amount |
48625.5 |
Total Medical Medicare Standardized Payment Amount |
55520.32 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
77 |
Number Of Beneficiaries Age 75 to 84 |
81 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
191 |
Number Of Male Beneficiaries |
80 |
Number Of Non Hispanic White Beneficiaries |
232 |
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 |
192 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
79 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.166 |