National Provider Identifier [NPI]: |
1992796890 |
Last Name Of The Provider |
KALUS |
First Name Of The Provider |
MICHAEL |
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 |
4200 WARRENSVILLE CENTER RD |
Street Address 2 Of The Provider |
SUITE 403 |
City Of The Provider |
WARRENSVILLE HTS. |
Zip Code Of The Provider |
44122 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
8912 |
Number Of Medicare Beneficiaries |
2860 |
Total Submitted Charge Amount |
1465709 |
Total Medicare Allowed Amount |
720852.67 |
Total Medicare Payment Amount |
547208.3 |
Total Medicare Standardized Payment Amount |
569519.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
498 |
Number Of Medicare Beneficiaries With Drug Services |
124 |
Total Drug Submitted ChargeAmount |
37300 |
Total Drug Medicare AllowedAmount |
26271.88 |
Total Drug Medicare PaymentAmount |
20597.05 |
Total Drug Medicare Standardized Payment Amount |
20597.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
8414 |
Number Of Medicare Beneficiaries With Medical Services |
2860 |
Total Medical Submitted Charge Amount |
1428409 |
Total Medical Medicare Allowed Amount |
694580.79 |
Total Medical Medicare Payment Amount |
526611.25 |
Total Medical Medicare Standardized Payment Amount |
548922.31 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
472 |
Number Of Beneficiaries Age 65 to 74 |
821 |
Number Of Beneficiaries Age 75 to 84 |
893 |
Number Of Beneficiaries Age Greater 84 |
674 |
Number Of Female Beneficiaries |
1617 |
Number Of Male Beneficiaries |
1243 |
Number Of Non Hispanic White Beneficiaries |
1414 |
Number Of Black or African American Beneficiaries |
1377 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
1923 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
937 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.3197 |