Medicare Facts for Dr. Michael J. Kellis, DO


National Provider Identifier [NPI]: 1831190313
Last Name Of The Provider KELLIS
First Name Of The Provider MICHAEL
Middle Initial Of The Provider J
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 150 SEVENTH AVE
Street Address 2 Of The Provider SUITE 200
City Of The Provider CHARDON
Zip Code Of The Provider 440242908
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Osteopathic Manipulative Medicine
Medicare Participation Indicator Y
Number Of HCPCS 72
Number Of Services 2352
Number Of Medicare Beneficiaries 316
Total Submitted Charge Amount 479968.25
Total Medicare Allowed Amount 170531.1
Total Medicare Payment Amount 127286.46
Total Medicare Standardized Payment Amount 132034.94
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 436
Number Of Medicare Beneficiaries With Drug Services 87
Total Drug Submitted ChargeAmount 108245.25
Total Drug Medicare AllowedAmount 37175.95
Total Drug Medicare PaymentAmount 28587.73
Total Drug Medicare Standardized Payment Amount 28587.73
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 65
Number Of Medical Services 1916
Number Of Medicare Beneficiaries With Medical Services 316
Total Medical Submitted Charge Amount 371723
Total Medical Medicare Allowed Amount 133355.15
Total Medical Medicare Payment Amount 98698.73
Total Medical Medicare Standardized Payment Amount 103447.21
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 32
Number Of Beneficiaries Age 65 to 74 166
Number Of Beneficiaries Age 75 to 84 94
Number Of Beneficiaries Age Greater 84 24
Number Of Female Beneficiaries 183
Number Of Male Beneficiaries 133
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 294
Number Of Beneficiaries With Medicare Medicaid Entitlement 22
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 4
Percent Of With Asthma 7
Percent Of With Cancer 7
Percent Of With Heart Failure 8
Percent Of With Chronic Kidney Disease 10
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 18
Percent Of With Diabetes 21
Percent Of With Hyperlipidemia 51
Percent Of With Hypertension 58
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 0.8196

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