National Provider Identifier [NPI]: |
1396837985 |
Last Name Of The Provider |
KAIBAS |
First Name Of The Provider |
AARON |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3006 N COUNTY ROAD 25A |
Street Address 2 Of The Provider |
SUITE 104 |
City Of The Provider |
TROY |
Zip Code Of The Provider |
453731373 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
3625 |
Number Of Medicare Beneficiaries |
1658 |
Total Submitted Charge Amount |
313228 |
Total Medicare Allowed Amount |
156456.58 |
Total Medicare Payment Amount |
112778.22 |
Total Medicare Standardized Payment Amount |
118753.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
3625 |
Number Of Medicare Beneficiaries With Medical Services |
1658 |
Total Medical Submitted Charge Amount |
313228 |
Total Medical Medicare Allowed Amount |
156456.58 |
Total Medical Medicare Payment Amount |
112778.22 |
Total Medical Medicare Standardized Payment Amount |
118753.31 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
315 |
Number Of Beneficiaries Age 65 to 74 |
513 |
Number Of Beneficiaries Age 75 to 84 |
506 |
Number Of Beneficiaries Age Greater 84 |
324 |
Number Of Female Beneficiaries |
892 |
Number Of Male Beneficiaries |
766 |
Number Of Non Hispanic White Beneficiaries |
1582 |
Number Of Black or African American Beneficiaries |
37 |
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 |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1224 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
434 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5906 |