National Provider Identifier [NPI]: |
1902854268 |
Last Name Of The Provider |
KLINKO |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
120 N 7TH ST |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
CHAMBERSBURG |
Zip Code Of The Provider |
172011795 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
3351 |
Number Of Medicare Beneficiaries |
1153 |
Total Submitted Charge Amount |
1107075 |
Total Medicare Allowed Amount |
342263.39 |
Total Medicare Payment Amount |
249982.03 |
Total Medicare Standardized Payment Amount |
260158.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
156 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
131664 |
Total Drug Medicare AllowedAmount |
29695.35 |
Total Drug Medicare PaymentAmount |
22774.09 |
Total Drug Medicare Standardized Payment Amount |
22774.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
3195 |
Number Of Medicare Beneficiaries With Medical Services |
1153 |
Total Medical Submitted Charge Amount |
975411 |
Total Medical Medicare Allowed Amount |
312568.04 |
Total Medical Medicare Payment Amount |
227207.94 |
Total Medical Medicare Standardized Payment Amount |
237384.38 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
427 |
Number Of Beneficiaries Age 75 to 84 |
408 |
Number Of Beneficiaries Age Greater 84 |
201 |
Number Of Female Beneficiaries |
322 |
Number Of Male Beneficiaries |
831 |
Number Of Non Hispanic White Beneficiaries |
1102 |
Number Of Black or African American Beneficiaries |
23 |
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 |
988 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
165 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4281 |