National Provider Identifier [NPI]: |
1275638488 |
Last Name Of The Provider |
KRITEMAN |
First Name Of The Provider |
LEWIS |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1357 HEMBREE RD |
Street Address 2 Of The Provider |
SUITE 250 |
City Of The Provider |
ROSWELL |
Zip Code Of The Provider |
300765722 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
103 |
Number Of Services |
5158 |
Number Of Medicare Beneficiaries |
935 |
Total Submitted Charge Amount |
1043106 |
Total Medicare Allowed Amount |
332406.03 |
Total Medicare Payment Amount |
252173.9 |
Total Medicare Standardized Payment Amount |
253886.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
889 |
Number Of Medicare Beneficiaries With Drug Services |
39 |
Total Drug Submitted ChargeAmount |
133578 |
Total Drug Medicare AllowedAmount |
35361.2 |
Total Drug Medicare PaymentAmount |
27652.82 |
Total Drug Medicare Standardized Payment Amount |
27652.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
4269 |
Number Of Medicare Beneficiaries With Medical Services |
935 |
Total Medical Submitted Charge Amount |
909528 |
Total Medical Medicare Allowed Amount |
297044.83 |
Total Medical Medicare Payment Amount |
224521.08 |
Total Medical Medicare Standardized Payment Amount |
226233.62 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
460 |
Number Of Beneficiaries Age 75 to 84 |
317 |
Number Of Beneficiaries Age Greater 84 |
127 |
Number Of Female Beneficiaries |
232 |
Number Of Male Beneficiaries |
703 |
Number Of Non Hispanic White Beneficiaries |
871 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
900 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1199 |