National Provider Identifier [NPI]: |
1215913884 |
Last Name Of The Provider |
KUHL |
First Name Of The Provider |
WAYNE |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4400 N 32ND ST |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850183953 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
86 |
Number Of Services |
13816 |
Number Of Medicare Beneficiaries |
637 |
Total Submitted Charge Amount |
379983.31 |
Total Medicare Allowed Amount |
323985.78 |
Total Medicare Payment Amount |
253815.7 |
Total Medicare Standardized Payment Amount |
269761.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
1380 |
Number Of Medicare Beneficiaries With Drug Services |
386 |
Total Drug Submitted ChargeAmount |
29379.31 |
Total Drug Medicare AllowedAmount |
22948.42 |
Total Drug Medicare PaymentAmount |
22047.37 |
Total Drug Medicare Standardized Payment Amount |
22047.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
12436 |
Number Of Medicare Beneficiaries With Medical Services |
637 |
Total Medical Submitted Charge Amount |
350604 |
Total Medical Medicare Allowed Amount |
301037.36 |
Total Medical Medicare Payment Amount |
231768.33 |
Total Medical Medicare Standardized Payment Amount |
247714.42 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
341 |
Number Of Beneficiaries Age 75 to 84 |
203 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
287 |
Number Of Male Beneficiaries |
350 |
Number Of Non Hispanic White Beneficiaries |
613 |
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 |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.7934 |