National Provider Identifier [NPI]: |
1619943602 |
Last Name Of The Provider |
KAMP |
First Name Of The Provider |
TIMOTHY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD PHD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 HIGHLAND AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MADISON |
Zip Code Of The Provider |
53792 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
3966 |
Number Of Medicare Beneficiaries |
2804 |
Total Submitted Charge Amount |
493352 |
Total Medicare Allowed Amount |
46562.43 |
Total Medicare Payment Amount |
35144.37 |
Total Medicare Standardized Payment Amount |
36227.22 |
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 |
24 |
Number Of Medical Services |
3966 |
Number Of Medicare Beneficiaries With Medical Services |
2804 |
Total Medical Submitted Charge Amount |
493352 |
Total Medical Medicare Allowed Amount |
46562.43 |
Total Medical Medicare Payment Amount |
35144.37 |
Total Medical Medicare Standardized Payment Amount |
36227.22 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
567 |
Number Of Beneficiaries Age 65 to 74 |
1071 |
Number Of Beneficiaries Age 75 to 84 |
760 |
Number Of Beneficiaries Age Greater 84 |
406 |
Number Of Female Beneficiaries |
1461 |
Number Of Male Beneficiaries |
1343 |
Number Of Non Hispanic White Beneficiaries |
2552 |
Number Of Black or African American Beneficiaries |
109 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
49 |
Number Of Beneficiaries With Medicare Only Entitlement |
2220 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
584 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.8814 |