National Provider Identifier [NPI]: |
1750373023 |
Last Name Of The Provider |
JOSEPH |
First Name Of The Provider |
KIRPICH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
449 PLEASANT HILL RD NW STE 104 |
Street Address 2 Of The Provider |
|
City Of The Provider |
LILBURN |
Zip Code Of The Provider |
300472770 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
13 |
Number Of Services |
2805 |
Number Of Medicare Beneficiaries |
1194 |
Total Submitted Charge Amount |
341066.4 |
Total Medicare Allowed Amount |
315867.42 |
Total Medicare Payment Amount |
241884.11 |
Total Medicare Standardized Payment Amount |
244056.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
13 |
Number Of Medical Services |
2805 |
Number Of Medicare Beneficiaries With Medical Services |
1194 |
Total Medical Submitted Charge Amount |
341066.4 |
Total Medical Medicare Allowed Amount |
315867.42 |
Total Medical Medicare Payment Amount |
241884.11 |
Total Medical Medicare Standardized Payment Amount |
244056.6 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
128 |
Number Of Beneficiaries Age 65 to 74 |
289 |
Number Of Beneficiaries Age 75 to 84 |
418 |
Number Of Beneficiaries Age Greater 84 |
359 |
Number Of Female Beneficiaries |
712 |
Number Of Male Beneficiaries |
482 |
Number Of Non Hispanic White Beneficiaries |
878 |
Number Of Black or African American Beneficiaries |
270 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
827 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
367 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
46 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
61 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
49 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
24 |
Average HCC Risk Score Of Beneficiaries |
2.3944 |