National Provider Identifier [NPI]: |
1548215627 |
Last Name Of The Provider |
KAHEN |
First Name Of The Provider |
HOWARD |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5539 MARINE PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEW PORT RICHEY |
Zip Code Of The Provider |
346524329 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
183 |
Number Of Services |
57922 |
Number Of Medicare Beneficiaries |
3471 |
Total Submitted Charge Amount |
2255465.6 |
Total Medicare Allowed Amount |
644506.78 |
Total Medicare Payment Amount |
515930.01 |
Total Medicare Standardized Payment Amount |
530649.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
52091 |
Number Of Medicare Beneficiaries With Drug Services |
538 |
Total Drug Submitted ChargeAmount |
120863.6 |
Total Drug Medicare AllowedAmount |
13908.85 |
Total Drug Medicare PaymentAmount |
10863.38 |
Total Drug Medicare Standardized Payment Amount |
10863.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
178 |
Number Of Medical Services |
5831 |
Number Of Medicare Beneficiaries With Medical Services |
3468 |
Total Medical Submitted Charge Amount |
2134602 |
Total Medical Medicare Allowed Amount |
630597.93 |
Total Medical Medicare Payment Amount |
505066.63 |
Total Medical Medicare Standardized Payment Amount |
519786.27 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
369 |
Number Of Beneficiaries Age 65 to 74 |
1453 |
Number Of Beneficiaries Age 75 to 84 |
1166 |
Number Of Beneficiaries Age Greater 84 |
483 |
Number Of Female Beneficiaries |
2409 |
Number Of Male Beneficiaries |
1062 |
Number Of Non Hispanic White Beneficiaries |
3249 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
119 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
40 |
Number Of Beneficiaries With Medicare Only Entitlement |
3079 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
392 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.28 |