National Provider Identifier [NPI]: |
1942421334 |
Last Name Of The Provider |
KAHN |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10503 W THUNDERBIRD BLVD |
Street Address 2 Of The Provider |
SUITE 366 |
City Of The Provider |
SUN CITY |
Zip Code Of The Provider |
853513022 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
133216 |
Number Of Medicare Beneficiaries |
609 |
Total Submitted Charge Amount |
2282088.73 |
Total Medicare Allowed Amount |
1283825.98 |
Total Medicare Payment Amount |
991720.8 |
Total Medicare Standardized Payment Amount |
980762.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
52 |
Number Of Drug Services |
127537 |
Number Of Medicare Beneficiaries With Drug Services |
96 |
Total Drug Submitted ChargeAmount |
1466611.71 |
Total Drug Medicare AllowedAmount |
828952.03 |
Total Drug Medicare PaymentAmount |
645871.67 |
Total Drug Medicare Standardized Payment Amount |
645871.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
5679 |
Number Of Medicare Beneficiaries With Medical Services |
609 |
Total Medical Submitted Charge Amount |
815477.02 |
Total Medical Medicare Allowed Amount |
454873.95 |
Total Medical Medicare Payment Amount |
345849.13 |
Total Medical Medicare Standardized Payment Amount |
334890.54 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
249 |
Number Of Beneficiaries Age 75 to 84 |
206 |
Number Of Beneficiaries Age Greater 84 |
111 |
Number Of Female Beneficiaries |
317 |
Number Of Male Beneficiaries |
292 |
Number Of Non Hispanic White Beneficiaries |
551 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
544 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
34 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.2572 |