National Provider Identifier [NPI]: |
1124076930 |
Last Name Of The Provider |
KAISER |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4060 BUTLER PIKE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
PLYMOUTH MEETING |
Zip Code Of The Provider |
194621560 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
33812 |
Number Of Medicare Beneficiaries |
1879 |
Total Submitted Charge Amount |
22812787 |
Total Medicare Allowed Amount |
9518238.4 |
Total Medicare Payment Amount |
7374877.39 |
Total Medicare Standardized Payment Amount |
7298232.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
19965 |
Number Of Medicare Beneficiaries With Drug Services |
774 |
Total Drug Submitted ChargeAmount |
18286382 |
Total Drug Medicare AllowedAmount |
8031763.7 |
Total Drug Medicare PaymentAmount |
6271427.81 |
Total Drug Medicare Standardized Payment Amount |
6271427.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
13847 |
Number Of Medicare Beneficiaries With Medical Services |
1879 |
Total Medical Submitted Charge Amount |
4526405 |
Total Medical Medicare Allowed Amount |
1486474.7 |
Total Medical Medicare Payment Amount |
1103449.58 |
Total Medical Medicare Standardized Payment Amount |
1026804.91 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
106 |
Number Of Beneficiaries Age 65 to 74 |
639 |
Number Of Beneficiaries Age 75 to 84 |
576 |
Number Of Beneficiaries Age Greater 84 |
558 |
Number Of Female Beneficiaries |
1111 |
Number Of Male Beneficiaries |
768 |
Number Of Non Hispanic White Beneficiaries |
1701 |
Number Of Black or African American Beneficiaries |
91 |
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
1727 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
152 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4997 |