National Provider Identifier [NPI]: |
1922104884 |
Last Name Of The Provider |
TARKAN |
First Name Of The Provider |
JOSHUA |
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 |
1 PARKWAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
HAVERHILL |
Zip Code Of The Provider |
018306278 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
12860 |
Number Of Medicare Beneficiaries |
777 |
Total Submitted Charge Amount |
1540476 |
Total Medicare Allowed Amount |
562768.27 |
Total Medicare Payment Amount |
432579.82 |
Total Medicare Standardized Payment Amount |
426809.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
8189 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
147375 |
Total Drug Medicare AllowedAmount |
94009.92 |
Total Drug Medicare PaymentAmount |
73337.04 |
Total Drug Medicare Standardized Payment Amount |
73337.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
4671 |
Number Of Medicare Beneficiaries With Medical Services |
777 |
Total Medical Submitted Charge Amount |
1393101 |
Total Medical Medicare Allowed Amount |
468758.35 |
Total Medical Medicare Payment Amount |
359242.78 |
Total Medical Medicare Standardized Payment Amount |
353472.38 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
114 |
Number Of Beneficiaries Age 65 to 74 |
241 |
Number Of Beneficiaries Age 75 to 84 |
253 |
Number Of Beneficiaries Age Greater 84 |
169 |
Number Of Female Beneficiaries |
357 |
Number Of Male Beneficiaries |
420 |
Number Of Non Hispanic White Beneficiaries |
744 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
570 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
207 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.701 |