Medicare Facts for Dr. Kevin B. Merkes, MD


National Provider Identifier [NPI]: 1760578744
Last Name Of The Provider MERKES
First Name Of The Provider KEVIN
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 NORTH COUNTY INTERNISTS
Street Address 2 Of The Provider 15721 POMERADO ROAD
City Of The Provider POWAY
Zip Code Of The Provider 920642021
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 44
Number Of Services 1044
Number Of Medicare Beneficiaries 237
Total Submitted Charge Amount 123871.92
Total Medicare Allowed Amount 69081.53
Total Medicare Payment Amount 50201.08
Total Medicare Standardized Payment Amount 48774.67
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 10
Number Of Drug Services 228
Number Of Medicare Beneficiaries With Drug Services 73
Total Drug Submitted ChargeAmount 22211.81
Total Drug Medicare AllowedAmount 9569.11
Total Drug Medicare PaymentAmount 8096.08
Total Drug Medicare Standardized Payment Amount 8096.08
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 34
Number Of Medical Services 816
Number Of Medicare Beneficiaries With Medical Services 237
Total Medical Submitted Charge Amount 101660.11
Total Medical Medicare Allowed Amount 59512.42
Total Medical Medicare Payment Amount 42105
Total Medical Medicare Standardized Payment Amount 40678.59
Average Age Of Beneficiaries 78
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 81
Number Of Beneficiaries Age 75 to 84 80
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 126
Number Of Male Beneficiaries 111
Number Of Non Hispanic White Beneficiaries 204
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 14
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 17
Percent Of With Asthma
Percent Of With Cancer 7
Percent Of With Heart Failure 20
Percent Of With Chronic Kidney Disease 21
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 18
Percent Of With Diabetes 18
Percent Of With Hyperlipidemia 41
Percent Of With Hypertension 41
Percent Of With Ischemic Heart Disease 20
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 31
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0955

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