National Provider Identifier [NPI]: |
1811941826 |
Last Name Of The Provider |
KAHN |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2964 N STATE ROAD 7 |
Street Address 2 Of The Provider |
SUITE 330 |
City Of The Provider |
MARGATE |
Zip Code Of The Provider |
33063 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
41611 |
Number Of Medicare Beneficiaries |
258 |
Total Submitted Charge Amount |
1821097.51 |
Total Medicare Allowed Amount |
698802.16 |
Total Medicare Payment Amount |
545380.59 |
Total Medicare Standardized Payment Amount |
538537.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
44 |
Number Of Drug Services |
37951 |
Number Of Medicare Beneficiaries With Drug Services |
106 |
Total Drug Submitted ChargeAmount |
1178191.51 |
Total Drug Medicare AllowedAmount |
528826.8 |
Total Drug Medicare PaymentAmount |
414077.1 |
Total Drug Medicare Standardized Payment Amount |
414077.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
3660 |
Number Of Medicare Beneficiaries With Medical Services |
258 |
Total Medical Submitted Charge Amount |
642906 |
Total Medical Medicare Allowed Amount |
169975.36 |
Total Medical Medicare Payment Amount |
131303.49 |
Total Medical Medicare Standardized Payment Amount |
124460.31 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
93 |
Number Of Beneficiaries Age 75 to 84 |
69 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
164 |
Number Of Male Beneficiaries |
94 |
Number Of Non Hispanic White Beneficiaries |
181 |
Number Of Black or African American Beneficiaries |
37 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
180 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
27 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.9862 |