National Provider Identifier [NPI]: |
1457545774 |
Last Name Of The Provider |
KIRKMAN |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2830 W MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
VISALIA |
Zip Code Of The Provider |
932914331 |
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 |
48 |
Number Of Services |
3951 |
Number Of Medicare Beneficiaries |
1185 |
Total Submitted Charge Amount |
661827.22 |
Total Medicare Allowed Amount |
639619.11 |
Total Medicare Payment Amount |
470005.9 |
Total Medicare Standardized Payment Amount |
462973.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
186 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
99474 |
Total Drug Medicare AllowedAmount |
98443.41 |
Total Drug Medicare PaymentAmount |
77179.48 |
Total Drug Medicare Standardized Payment Amount |
77179.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
3765 |
Number Of Medicare Beneficiaries With Medical Services |
1185 |
Total Medical Submitted Charge Amount |
562353.22 |
Total Medical Medicare Allowed Amount |
541175.7 |
Total Medical Medicare Payment Amount |
392826.42 |
Total Medical Medicare Standardized Payment Amount |
385794.06 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
490 |
Number Of Beneficiaries Age 75 to 84 |
415 |
Number Of Beneficiaries Age Greater 84 |
221 |
Number Of Female Beneficiaries |
726 |
Number Of Male Beneficiaries |
459 |
Number Of Non Hispanic White Beneficiaries |
831 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
300 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
934 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
251 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1571 |