National Provider Identifier [NPI]: |
1215908074 |
Last Name Of The Provider |
KAUFMAN |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5969 E BROAD ST |
Street Address 2 Of The Provider |
SUITE 407 |
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
432131546 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
105 |
Number Of Services |
5052 |
Number Of Medicare Beneficiaries |
520 |
Total Submitted Charge Amount |
614309 |
Total Medicare Allowed Amount |
171555.77 |
Total Medicare Payment Amount |
128015.59 |
Total Medicare Standardized Payment Amount |
132972.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
2981 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
91453 |
Total Drug Medicare AllowedAmount |
29334.29 |
Total Drug Medicare PaymentAmount |
22904.75 |
Total Drug Medicare Standardized Payment Amount |
22904.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
96 |
Number Of Medical Services |
2071 |
Number Of Medicare Beneficiaries With Medical Services |
520 |
Total Medical Submitted Charge Amount |
522856 |
Total Medical Medicare Allowed Amount |
142221.48 |
Total Medical Medicare Payment Amount |
105110.84 |
Total Medical Medicare Standardized Payment Amount |
110067.96 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
248 |
Number Of Beneficiaries Age 75 to 84 |
151 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
111 |
Number Of Male Beneficiaries |
409 |
Number Of Non Hispanic White Beneficiaries |
439 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
446 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.266 |