National Provider Identifier [NPI]: |
1346285301 |
Last Name Of The Provider |
KALKER |
First Name Of The Provider |
ELLIOT |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
150 E SUNRISE HWY |
Street Address 2 Of The Provider |
208 |
City Of The Provider |
LINDENHURST |
Zip Code Of The Provider |
117572598 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
27757 |
Number Of Medicare Beneficiaries |
2989 |
Total Submitted Charge Amount |
1488794.23 |
Total Medicare Allowed Amount |
618490.69 |
Total Medicare Payment Amount |
468029.65 |
Total Medicare Standardized Payment Amount |
399421.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
23965 |
Number Of Medicare Beneficiaries With Drug Services |
331 |
Total Drug Submitted ChargeAmount |
9252.75 |
Total Drug Medicare AllowedAmount |
4556.07 |
Total Drug Medicare PaymentAmount |
3514.67 |
Total Drug Medicare Standardized Payment Amount |
3514.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
3792 |
Number Of Medicare Beneficiaries With Medical Services |
2988 |
Total Medical Submitted Charge Amount |
1479541.48 |
Total Medical Medicare Allowed Amount |
613934.62 |
Total Medical Medicare Payment Amount |
464514.98 |
Total Medical Medicare Standardized Payment Amount |
395906.96 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
423 |
Number Of Beneficiaries Age 65 to 74 |
1297 |
Number Of Beneficiaries Age 75 to 84 |
907 |
Number Of Beneficiaries Age Greater 84 |
362 |
Number Of Female Beneficiaries |
1843 |
Number Of Male Beneficiaries |
1146 |
Number Of Non Hispanic White Beneficiaries |
2606 |
Number Of Black or African American Beneficiaries |
145 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
134 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
55 |
Number Of Beneficiaries With Medicare Only Entitlement |
2570 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
419 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2716 |