Medicare Facts for David M. Kovacs, RN


National Provider Identifier [NPI]: 1861633083
Last Name Of The Provider KOVACS
First Name Of The Provider DAVID
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 26800 CROWN VALLEY PKWY
Street Address 2 Of The Provider SUITE 330
City Of The Provider MISSION VIEJO
Zip Code Of The Provider 926916384
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Rheumatology
Medicare Participation Indicator Y
Number Of HCPCS 54
Number Of Services 1858
Number Of Medicare Beneficiaries 202
Total Submitted Charge Amount 206333
Total Medicare Allowed Amount 125270.35
Total Medicare Payment Amount 97738.43
Total Medicare Standardized Payment Amount 90575.82
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 10
Number Of Drug Services 482
Number Of Medicare Beneficiaries With Drug Services 50
Total Drug Submitted ChargeAmount 62573
Total Drug Medicare AllowedAmount 31947.58
Total Drug Medicare PaymentAmount 25050.44
Total Drug Medicare Standardized Payment Amount 25050.44
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 44
Number Of Medical Services 1376
Number Of Medicare Beneficiaries With Medical Services 202
Total Medical Submitted Charge Amount 143760
Total Medical Medicare Allowed Amount 93322.77
Total Medical Medicare Payment Amount 72687.99
Total Medical Medicare Standardized Payment Amount 65525.38
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 17
Number Of Beneficiaries Age 65 to 74 99
Number Of Beneficiaries Age 75 to 84 57
Number Of Beneficiaries Age Greater 84 29
Number Of Female Beneficiaries 138
Number Of Male Beneficiaries 64
Number Of Non Hispanic White Beneficiaries 181
Number Of Black or African American Beneficiaries
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 180
Number Of Beneficiaries With Medicare Medicaid Entitlement 22
Percent Of With Atrial Fibrillation 17
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma
Percent Of With Cancer 13
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 19
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 24
Percent Of With Diabetes 21
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 64
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis 16
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.2272

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