National Provider Identifier [NPI]: |
1194714030 |
Last Name Of The Provider |
KABINS |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
501 S RANCHO DR |
Street Address 2 Of The Provider |
SUITE I-67 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891064828 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
2084 |
Number Of Medicare Beneficiaries |
415 |
Total Submitted Charge Amount |
2071500 |
Total Medicare Allowed Amount |
349429.22 |
Total Medicare Payment Amount |
264363.74 |
Total Medicare Standardized Payment Amount |
251683.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
142 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
2272 |
Total Drug Medicare AllowedAmount |
811.91 |
Total Drug Medicare PaymentAmount |
576.06 |
Total Drug Medicare Standardized Payment Amount |
576.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
1942 |
Number Of Medicare Beneficiaries With Medical Services |
415 |
Total Medical Submitted Charge Amount |
2069228 |
Total Medical Medicare Allowed Amount |
348617.31 |
Total Medical Medicare Payment Amount |
263787.68 |
Total Medical Medicare Standardized Payment Amount |
251107.12 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
164 |
Number Of Beneficiaries Age 75 to 84 |
77 |
Number Of Beneficiaries Age Greater 84 |
17 |
Number Of Female Beneficiaries |
242 |
Number Of Male Beneficiaries |
173 |
Number Of Non Hispanic White Beneficiaries |
307 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
311 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
104 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4049 |