National Provider Identifier [NPI]: |
1457456519 |
Last Name Of The Provider |
KAHN |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2100 WEBSTER ST |
Street Address 2 Of The Provider |
SUITE 222 |
City Of The Provider |
SAN FRANCISCO |
Zip Code Of The Provider |
941152373 |
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 |
78 |
Number Of Services |
2794 |
Number Of Medicare Beneficiaries |
483 |
Total Submitted Charge Amount |
545220.71 |
Total Medicare Allowed Amount |
215392.74 |
Total Medicare Payment Amount |
159642.66 |
Total Medicare Standardized Payment Amount |
137442.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
559 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
52548.05 |
Total Drug Medicare AllowedAmount |
15450.6 |
Total Drug Medicare PaymentAmount |
12066.94 |
Total Drug Medicare Standardized Payment Amount |
12066.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
2235 |
Number Of Medicare Beneficiaries With Medical Services |
483 |
Total Medical Submitted Charge Amount |
492672.66 |
Total Medical Medicare Allowed Amount |
199942.14 |
Total Medical Medicare Payment Amount |
147575.72 |
Total Medical Medicare Standardized Payment Amount |
125375.64 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
186 |
Number Of Beneficiaries Age 75 to 84 |
166 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
94 |
Number Of Male Beneficiaries |
389 |
Number Of Non Hispanic White Beneficiaries |
367 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
41 |
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
356 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
127 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3369 |