Medicare Facts for Dr. Michael J. Kalafian, MD


National Provider Identifier [NPI]: 1639178312
Last Name Of The Provider KALAFIAN
First Name Of The Provider MICHAEL
Middle Initial Of The Provider J
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1901 THOMSON DR
Street Address 2 Of The Provider
City Of The Provider LYNCHBURG
Zip Code Of The Provider 245011008
State Code Of The Provider VA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 51
Number Of Services 3724
Number Of Medicare Beneficiaries 855
Total Submitted Charge Amount 254808.74
Total Medicare Allowed Amount 201201.28
Total Medicare Payment Amount 142051.42
Total Medicare Standardized Payment Amount 145836.09
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 147
Number Of Medicare Beneficiaries With Drug Services 116
Total Drug Submitted ChargeAmount 7153.12
Total Drug Medicare AllowedAmount 4428.77
Total Drug Medicare PaymentAmount 4284.21
Total Drug Medicare Standardized Payment Amount 4284.21
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 40
Number Of Medical Services 3577
Number Of Medicare Beneficiaries With Medical Services 855
Total Medical Submitted Charge Amount 247655.62
Total Medical Medicare Allowed Amount 196772.51
Total Medical Medicare Payment Amount 137767.21
Total Medical Medicare Standardized Payment Amount 141551.88
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 102
Number Of Beneficiaries Age 65 to 74 373
Number Of Beneficiaries Age 75 to 84 267
Number Of Beneficiaries Age Greater 84 113
Number Of Female Beneficiaries 472
Number Of Male Beneficiaries 383
Number Of Non Hispanic White Beneficiaries 713
Number Of Black or African American Beneficiaries 131
Number Of AsianPacific Islander Beneficiaries
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 714
Number Of Beneficiaries With Medicare Medicaid Entitlement 141
Percent Of With Atrial Fibrillation 17
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 9
Percent Of With Cancer 12
Percent Of With Heart Failure 24
Percent Of With Chronic Kidney Disease 30
Percent Of With Chronic Obstructive Pulmonary Disease 16
Percent Of With Depression 26
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 60
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 37
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.4284

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