National Provider Identifier [NPI]: |
1326043779 |
Last Name Of The Provider |
KALBFLEISCH |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
473 W. 12TH AVENUE |
Street Address 2 Of The Provider |
SUITE 200 DHLRI |
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
43210 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
1226 |
Number Of Medicare Beneficiaries |
652 |
Total Submitted Charge Amount |
587740 |
Total Medicare Allowed Amount |
186381.74 |
Total Medicare Payment Amount |
142573.93 |
Total Medicare Standardized Payment Amount |
144991.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
1226 |
Number Of Medicare Beneficiaries With Medical Services |
652 |
Total Medical Submitted Charge Amount |
587740 |
Total Medical Medicare Allowed Amount |
186381.74 |
Total Medical Medicare Payment Amount |
142573.93 |
Total Medical Medicare Standardized Payment Amount |
144991.93 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
139 |
Number Of Beneficiaries Age 65 to 74 |
262 |
Number Of Beneficiaries Age 75 to 84 |
195 |
Number Of Beneficiaries Age Greater 84 |
56 |
Number Of Female Beneficiaries |
234 |
Number Of Male Beneficiaries |
418 |
Number Of Non Hispanic White Beneficiaries |
562 |
Number Of Black or African American Beneficiaries |
69 |
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 |
527 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
125 |
Percent Of With Atrial Fibrillation |
63 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
60 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.0454 |