National Provider Identifier [NPI]: |
1386715498 |
Last Name Of The Provider |
KLEIN |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
18350 ROSCOE BLVD STE 701 |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORTHRIDGE |
Zip Code Of The Provider |
913255601 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
9248 |
Number Of Medicare Beneficiaries |
576 |
Total Submitted Charge Amount |
902285 |
Total Medicare Allowed Amount |
435497.42 |
Total Medicare Payment Amount |
334647.79 |
Total Medicare Standardized Payment Amount |
307754.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
3776 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
88338 |
Total Drug Medicare AllowedAmount |
35104.04 |
Total Drug Medicare PaymentAmount |
27521.56 |
Total Drug Medicare Standardized Payment Amount |
27521.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
5472 |
Number Of Medicare Beneficiaries With Medical Services |
576 |
Total Medical Submitted Charge Amount |
813947 |
Total Medical Medicare Allowed Amount |
400393.38 |
Total Medical Medicare Payment Amount |
307126.23 |
Total Medical Medicare Standardized Payment Amount |
280233.13 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
194 |
Number Of Beneficiaries Age 75 to 84 |
209 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
54 |
Number Of Male Beneficiaries |
522 |
Number Of Non Hispanic White Beneficiaries |
419 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
54 |
Number Of Hispanic Beneficiaries |
77 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
389 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
187 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5673 |