National Provider Identifier [NPI]: |
1124180518 |
Last Name Of The Provider |
KAYE |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6767 N FRESNO ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937103709 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
4676 |
Number Of Medicare Beneficiaries |
842 |
Total Submitted Charge Amount |
2474865 |
Total Medicare Allowed Amount |
843703.15 |
Total Medicare Payment Amount |
636485.52 |
Total Medicare Standardized Payment Amount |
613850.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
130 |
Number Of Medicare Beneficiaries With Drug Services |
75 |
Total Drug Submitted ChargeAmount |
15600 |
Total Drug Medicare AllowedAmount |
6798.24 |
Total Drug Medicare PaymentAmount |
5129.08 |
Total Drug Medicare Standardized Payment Amount |
5129.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
4546 |
Number Of Medicare Beneficiaries With Medical Services |
842 |
Total Medical Submitted Charge Amount |
2459265 |
Total Medical Medicare Allowed Amount |
836904.91 |
Total Medical Medicare Payment Amount |
631356.44 |
Total Medical Medicare Standardized Payment Amount |
608721.3 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
153 |
Number Of Beneficiaries Age 65 to 74 |
377 |
Number Of Beneficiaries Age 75 to 84 |
234 |
Number Of Beneficiaries Age Greater 84 |
78 |
Number Of Female Beneficiaries |
424 |
Number Of Male Beneficiaries |
418 |
Number Of Non Hispanic White Beneficiaries |
168 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
104 |
Number Of Hispanic Beneficiaries |
522 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
139 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
703 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
67 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4528 |