National Provider Identifier [NPI]: |
1245232602 |
Last Name Of The Provider |
KASPER |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2213 CHERRY ST |
Street Address 2 Of The Provider |
303 ACC |
City Of The Provider |
TOLEDO |
Zip Code Of The Provider |
436082603 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Vascular Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
136 |
Number Of Services |
3242 |
Number Of Medicare Beneficiaries |
1385 |
Total Submitted Charge Amount |
1103631 |
Total Medicare Allowed Amount |
403784.9 |
Total Medicare Payment Amount |
305673.45 |
Total Medicare Standardized Payment Amount |
311000.26 |
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 |
136 |
Number Of Medical Services |
3242 |
Number Of Medicare Beneficiaries With Medical Services |
1385 |
Total Medical Submitted Charge Amount |
1103631 |
Total Medical Medicare Allowed Amount |
403784.9 |
Total Medical Medicare Payment Amount |
305673.45 |
Total Medical Medicare Standardized Payment Amount |
311000.26 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
321 |
Number Of Beneficiaries Age 65 to 74 |
504 |
Number Of Beneficiaries Age 75 to 84 |
400 |
Number Of Beneficiaries Age Greater 84 |
160 |
Number Of Female Beneficiaries |
669 |
Number Of Male Beneficiaries |
716 |
Number Of Non Hispanic White Beneficiaries |
1120 |
Number Of Black or African American Beneficiaries |
205 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
43 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
949 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
436 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.2862 |