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 |