National Provider Identifier [NPI]: |
1720086713 |
Last Name Of The Provider |
KRAUS |
First Name Of The Provider |
STANLEY |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
161 WORCESTER RD |
Street Address 2 Of The Provider |
SUITE 601 |
City Of The Provider |
FRAMINGHAM |
Zip Code Of The Provider |
017015352 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
3926 |
Number Of Medicare Beneficiaries |
714 |
Total Submitted Charge Amount |
1221371 |
Total Medicare Allowed Amount |
360259.56 |
Total Medicare Payment Amount |
270007.9 |
Total Medicare Standardized Payment Amount |
256066.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
638 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
186850 |
Total Drug Medicare AllowedAmount |
58495.9 |
Total Drug Medicare PaymentAmount |
45636.33 |
Total Drug Medicare Standardized Payment Amount |
45636.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
3288 |
Number Of Medicare Beneficiaries With Medical Services |
714 |
Total Medical Submitted Charge Amount |
1034521 |
Total Medical Medicare Allowed Amount |
301763.66 |
Total Medical Medicare Payment Amount |
224371.57 |
Total Medical Medicare Standardized Payment Amount |
210429.95 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
282 |
Number Of Beneficiaries Age 75 to 84 |
222 |
Number Of Beneficiaries Age Greater 84 |
143 |
Number Of Female Beneficiaries |
190 |
Number Of Male Beneficiaries |
524 |
Number Of Non Hispanic White Beneficiaries |
660 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
601 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
113 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3388 |