Medicare Facts for Dr. Arthur N. Kales, MD


National Provider Identifier [NPI]: 1417924663
Last Name Of The Provider KALES
First Name Of The Provider ARTHUR
Middle Initial Of The Provider N
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 8503 ARLINGTON BLVD
Street Address 2 Of The Provider STE 400
City Of The Provider FAIRFAX
Zip Code Of The Provider 220314629
State Code Of The Provider VA
Country Code Of The Provider US
Provider Type Of The Provider Hematology/Oncology
Medicare Participation Indicator Y
Number Of HCPCS 171
Number Of Services 162908
Number Of Medicare Beneficiaries 2191
Total Submitted Charge Amount 8294024.5
Total Medicare Allowed Amount 2236422.56
Total Medicare Payment Amount 1768311.52
Total Medicare Standardized Payment Amount 1719629.59
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 84
Number Of Drug Services 143624
Number Of Medicare Beneficiaries With Drug Services 354
Total Drug Submitted ChargeAmount 6351125.5
Total Drug Medicare AllowedAmount 1621069.49
Total Drug Medicare PaymentAmount 1266768.49
Total Drug Medicare Standardized Payment Amount 1266768.49
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 87
Number Of Medical Services 19284
Number Of Medicare Beneficiaries With Medical Services 2191
Total Medical Submitted Charge Amount 1942899
Total Medical Medicare Allowed Amount 615353.07
Total Medical Medicare Payment Amount 501543.03
Total Medical Medicare Standardized Payment Amount 452861.1
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 123
Number Of Beneficiaries Age 65 to 74 1010
Number Of Beneficiaries Age 75 to 84 762
Number Of Beneficiaries Age Greater 84 296
Number Of Female Beneficiaries 1144
Number Of Male Beneficiaries 1047
Number Of Non Hispanic White Beneficiaries 1753
Number Of Black or African American Beneficiaries 165
Number Of AsianPacific Islander Beneficiaries 119
Number Of Hispanic Beneficiaries 91
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 2005
Number Of Beneficiaries With Medicare Medicaid Entitlement 186
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 8
Percent Of With Cancer 41
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 28
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 14
Percent Of With Diabetes 27
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 35
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.7606

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