| National Provider Identifier [NPI]: | 1376549287 |
| Last Name Of The Provider | BALCH |
| First Name Of The Provider | KYLE |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 6717 NW 11TH PLACE SUITE A |
| Street Address 2 Of The Provider | STE A |
| City Of The Provider | GAINESVILLE |
| Zip Code Of The Provider | 326054233 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Ophthalmology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 72 |
| Number Of Services | 11235 |
| Number Of Medicare Beneficiaries | 3279 |
| Total Submitted Charge Amount | 3106919 |
| Total Medicare Allowed Amount | 1627095.28 |
| Total Medicare Payment Amount | 1206400 |
| Total Medicare Standardized Payment Amount | 1199770.91 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 932 |
| Number Of Medicare Beneficiaries With Drug Services | 18 |
| Total Drug Submitted ChargeAmount | 6524 |
| Total Drug Medicare AllowedAmount | 5127.44 |
| Total Drug Medicare PaymentAmount | 4017.46 |
| Total Drug Medicare Standardized Payment Amount | 4017.46 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 71 |
| Number Of Medical Services | 10303 |
| Number Of Medicare Beneficiaries With Medical Services | 3279 |
| Total Medical Submitted Charge Amount | 3100395 |
| Total Medical Medicare Allowed Amount | 1621967.84 |
| Total Medical Medicare Payment Amount | 1202382.54 |
| Total Medical Medicare Standardized Payment Amount | 1195753.45 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 139 |
| Number Of Beneficiaries Age 65 to 74 | 1501 |
| Number Of Beneficiaries Age 75 to 84 | 1200 |
| Number Of Beneficiaries Age Greater 84 | 439 |
| Number Of Female Beneficiaries | 2053 |
| Number Of Male Beneficiaries | 1226 |
| Number Of Non Hispanic White Beneficiaries | 2909 |
| Number Of Black or African American Beneficiaries | 220 |
| Number Of AsianPacific Islander Beneficiaries | 25 |
| Number Of Hispanic Beneficiaries | 90 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 35 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2989 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 290 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 13 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 12 |
| Percent Of With Depression | 16 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 32 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.0073 |