National Provider Identifier [NPI]: |
1093940181 |
Last Name Of The Provider |
VOLKER |
First Name Of The Provider |
KIRK |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1165 IMPERIAL DR |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
HAGERSTOWN |
Zip Code Of The Provider |
217406555 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
4265 |
Number Of Medicare Beneficiaries |
692 |
Total Submitted Charge Amount |
412054.25 |
Total Medicare Allowed Amount |
255445.17 |
Total Medicare Payment Amount |
190514.53 |
Total Medicare Standardized Payment Amount |
185953.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
55 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
107.25 |
Total Drug Medicare AllowedAmount |
97.5 |
Total Drug Medicare PaymentAmount |
75.05 |
Total Drug Medicare Standardized Payment Amount |
75.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
4210 |
Number Of Medicare Beneficiaries With Medical Services |
692 |
Total Medical Submitted Charge Amount |
411947 |
Total Medical Medicare Allowed Amount |
255347.67 |
Total Medical Medicare Payment Amount |
190439.48 |
Total Medical Medicare Standardized Payment Amount |
185878.26 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
327 |
Number Of Beneficiaries Age 75 to 84 |
216 |
Number Of Beneficiaries Age Greater 84 |
93 |
Number Of Female Beneficiaries |
401 |
Number Of Male Beneficiaries |
291 |
Number Of Non Hispanic White Beneficiaries |
672 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
632 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
60 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9872 |