National Provider Identifier [NPI]: |
1295783447 |
Last Name Of The Provider |
KALIN |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
140 YARMOUTH ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
HYANNIS |
Zip Code Of The Provider |
026013040 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
6485 |
Number Of Medicare Beneficiaries |
2163 |
Total Submitted Charge Amount |
1470686.84 |
Total Medicare Allowed Amount |
528367.48 |
Total Medicare Payment Amount |
396464.99 |
Total Medicare Standardized Payment Amount |
388785.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
245 |
Number Of Medicare Beneficiaries With Drug Services |
61 |
Total Drug Submitted ChargeAmount |
18328 |
Total Drug Medicare AllowedAmount |
12915.24 |
Total Drug Medicare PaymentAmount |
10021 |
Total Drug Medicare Standardized Payment Amount |
10021 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
6240 |
Number Of Medicare Beneficiaries With Medical Services |
2163 |
Total Medical Submitted Charge Amount |
1452358.84 |
Total Medical Medicare Allowed Amount |
515452.24 |
Total Medical Medicare Payment Amount |
386443.99 |
Total Medical Medicare Standardized Payment Amount |
378764.83 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
192 |
Number Of Beneficiaries Age 65 to 74 |
677 |
Number Of Beneficiaries Age 75 to 84 |
748 |
Number Of Beneficiaries Age Greater 84 |
546 |
Number Of Female Beneficiaries |
1155 |
Number Of Male Beneficiaries |
1008 |
Number Of Non Hispanic White Beneficiaries |
2087 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
1780 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
383 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.5851 |