National Provider Identifier [NPI]: |
1467440974 |
Last Name Of The Provider |
KAUFFMAN |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2410 S QUEEN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
YORK |
Zip Code Of The Provider |
174024941 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
4622 |
Number Of Medicare Beneficiaries |
473 |
Total Submitted Charge Amount |
326242.5 |
Total Medicare Allowed Amount |
251439.25 |
Total Medicare Payment Amount |
179550.37 |
Total Medicare Standardized Payment Amount |
198980.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
170 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
1020 |
Total Drug Medicare AllowedAmount |
469.15 |
Total Drug Medicare PaymentAmount |
234.16 |
Total Drug Medicare Standardized Payment Amount |
234.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
4452 |
Number Of Medicare Beneficiaries With Medical Services |
473 |
Total Medical Submitted Charge Amount |
325222.5 |
Total Medical Medicare Allowed Amount |
250970.1 |
Total Medical Medicare Payment Amount |
179316.21 |
Total Medical Medicare Standardized Payment Amount |
198746.65 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
137 |
Number Of Beneficiaries Age 75 to 84 |
180 |
Number Of Beneficiaries Age Greater 84 |
123 |
Number Of Female Beneficiaries |
311 |
Number Of Male Beneficiaries |
162 |
Number Of Non Hispanic White Beneficiaries |
452 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
430 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2859 |