National Provider Identifier [NPI]: |
1659353639 |
Last Name Of The Provider |
KAHN |
First Name Of The Provider |
JOEL |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
28625 NORTHWESTERN HWY |
Street Address 2 Of The Provider |
SUITE 150 |
City Of The Provider |
SOUTHFIELD |
Zip Code Of The Provider |
480341828 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
6275.6 |
Number Of Medicare Beneficiaries |
2407 |
Total Submitted Charge Amount |
1321989.3 |
Total Medicare Allowed Amount |
816847.56 |
Total Medicare Payment Amount |
625855.84 |
Total Medicare Standardized Payment Amount |
619961.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
333 |
Number Of Medicare Beneficiaries With Drug Services |
93 |
Total Drug Submitted ChargeAmount |
21509 |
Total Drug Medicare AllowedAmount |
17511.95 |
Total Drug Medicare PaymentAmount |
13674.86 |
Total Drug Medicare Standardized Payment Amount |
13674.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
5942.6 |
Number Of Medicare Beneficiaries With Medical Services |
2407 |
Total Medical Submitted Charge Amount |
1300480.3 |
Total Medical Medicare Allowed Amount |
799335.61 |
Total Medical Medicare Payment Amount |
612180.98 |
Total Medical Medicare Standardized Payment Amount |
606286.18 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
382 |
Number Of Beneficiaries Age 65 to 74 |
956 |
Number Of Beneficiaries Age 75 to 84 |
706 |
Number Of Beneficiaries Age Greater 84 |
363 |
Number Of Female Beneficiaries |
1278 |
Number Of Male Beneficiaries |
1129 |
Number Of Non Hispanic White Beneficiaries |
1772 |
Number Of Black or African American Beneficiaries |
528 |
Number Of AsianPacific Islander Beneficiaries |
37 |
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
43 |
Number Of Beneficiaries With Medicare Only Entitlement |
1896 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
511 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4716 |