Medicare Facts for Dr. Benjamin Kalsmith, MD


National Provider Identifier [NPI]: 1902925837
Last Name Of The Provider KALSMITH
First Name Of The Provider BENJAMIN
Middle Initial Of The Provider
Credentials Of The Provider MD.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 5750 CENTRE AVE
Street Address 2 Of The Provider SUITE 510
City Of The Provider PGH
Zip Code Of The Provider 15206
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Cardiology
Medicare Participation Indicator Y
Number Of HCPCS 56
Number Of Services 1819
Number Of Medicare Beneficiaries 452
Total Submitted Charge Amount 347110
Total Medicare Allowed Amount 184306.65
Total Medicare Payment Amount 139348.62
Total Medicare Standardized Payment Amount 146683.95
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 1
Number Of Drug Services 73
Number Of Medicare Beneficiaries With Drug Services 19
Total Drug Submitted ChargeAmount 4015
Total Drug Medicare AllowedAmount 3862.76
Total Drug Medicare PaymentAmount 2861.98
Total Drug Medicare Standardized Payment Amount 2861.98
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 55
Number Of Medical Services 1746
Number Of Medicare Beneficiaries With Medical Services 452
Total Medical Submitted Charge Amount 343095
Total Medical Medicare Allowed Amount 180443.89
Total Medical Medicare Payment Amount 136486.64
Total Medical Medicare Standardized Payment Amount 143821.97
Average Age Of Beneficiaries 77
Number Of Beneficiaries Age Less65 49
Number Of Beneficiaries Age 65 to 74 147
Number Of Beneficiaries Age 75 to 84 128
Number Of Beneficiaries Age Greater 84 128
Number Of Female Beneficiaries 234
Number Of Male Beneficiaries 218
Number Of Non Hispanic White Beneficiaries 410
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
Number Of Beneficiaries With Medicare Only Entitlement 399
Number Of Beneficiaries With Medicare Medicaid Entitlement 53
Percent Of With Atrial Fibrillation 37
Percent Of With Alzheimers Disease or Dementia 17
Percent Of With Asthma 9
Percent Of With Cancer 16
Percent Of With Heart Failure 44
Percent Of With Chronic Kidney Disease 38
Percent Of With Chronic Obstructive Pulmonary Disease 28
Percent Of With Depression 31
Percent Of With Diabetes 41
Percent Of With Hyperlipidemia 67
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 75
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 50
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 13
Average HCC Risk Score Of Beneficiaries 1.9455

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