National Provider Identifier [NPI]: |
1831179506 |
Last Name Of The Provider |
KOHLI |
First Name Of The Provider |
NAVJOT |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2801 W KINNICKINNIC RIVER PKWY |
Street Address 2 Of The Provider |
SUITE 345 |
City Of The Provider |
MILWAUKEE |
Zip Code Of The Provider |
532153669 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
2792 |
Number Of Medicare Beneficiaries |
517 |
Total Submitted Charge Amount |
1971720 |
Total Medicare Allowed Amount |
225839.29 |
Total Medicare Payment Amount |
166656.61 |
Total Medicare Standardized Payment Amount |
181788.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1545 |
Number Of Medicare Beneficiaries With Drug Services |
248 |
Total Drug Submitted ChargeAmount |
44575 |
Total Drug Medicare AllowedAmount |
17806.94 |
Total Drug Medicare PaymentAmount |
12766.05 |
Total Drug Medicare Standardized Payment Amount |
12766.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
1247 |
Number Of Medicare Beneficiaries With Medical Services |
517 |
Total Medical Submitted Charge Amount |
1927145 |
Total Medical Medicare Allowed Amount |
208032.35 |
Total Medical Medicare Payment Amount |
153890.56 |
Total Medical Medicare Standardized Payment Amount |
169022.44 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
152 |
Number Of Beneficiaries Age 65 to 74 |
193 |
Number Of Beneficiaries Age 75 to 84 |
122 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
287 |
Number Of Male Beneficiaries |
230 |
Number Of Non Hispanic White Beneficiaries |
426 |
Number Of Black or African American Beneficiaries |
47 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
375 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
142 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3628 |