National Provider Identifier [NPI]: |
1215999495 |
Last Name Of The Provider |
KAPOGIANNIS |
First Name Of The Provider |
CHRISTOS |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
370 FAUNCE CORNER ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORTH DARTMOUTH |
Zip Code Of The Provider |
027471271 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Critical Care (Intensivists) |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
6679 |
Number Of Medicare Beneficiaries |
1115 |
Total Submitted Charge Amount |
821515.7 |
Total Medicare Allowed Amount |
341712.25 |
Total Medicare Payment Amount |
260364.59 |
Total Medicare Standardized Payment Amount |
256463.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1517 |
Number Of Medicare Beneficiaries With Drug Services |
139 |
Total Drug Submitted ChargeAmount |
10954.84 |
Total Drug Medicare AllowedAmount |
7527.47 |
Total Drug Medicare PaymentAmount |
7122.24 |
Total Drug Medicare Standardized Payment Amount |
7122.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
112 |
Number Of Medical Services |
5162 |
Number Of Medicare Beneficiaries With Medical Services |
1115 |
Total Medical Submitted Charge Amount |
810560.86 |
Total Medical Medicare Allowed Amount |
334184.78 |
Total Medical Medicare Payment Amount |
253242.35 |
Total Medical Medicare Standardized Payment Amount |
249341.47 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
348 |
Number Of Beneficiaries Age 65 to 74 |
391 |
Number Of Beneficiaries Age 75 to 84 |
251 |
Number Of Beneficiaries Age Greater 84 |
125 |
Number Of Female Beneficiaries |
636 |
Number Of Male Beneficiaries |
479 |
Number Of Non Hispanic White Beneficiaries |
930 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
110 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
592 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
523 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6234 |