Medicare Facts for Dr. Mira T. Keddis, MD


National Provider Identifier [NPI]: 1184743031
Last Name Of The Provider KEDDIS
First Name Of The Provider MIRA
Middle Initial Of The Provider T
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 200 1ST ST SW
Street Address 2 Of The Provider
City Of The Provider ROCHESTER
Zip Code Of The Provider 559050001
State Code Of The Provider MN
Country Code Of The Provider US
Provider Type Of The Provider Nephrology
Medicare Participation Indicator Y
Number Of HCPCS 26
Number Of Services 5976
Number Of Medicare Beneficiaries 440
Total Submitted Charge Amount 113263.18
Total Medicare Allowed Amount 98188.53
Total Medicare Payment Amount 74057.98
Total Medicare Standardized Payment Amount 78876.28
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 5044
Number Of Medicare Beneficiaries With Drug Services 44
Total Drug Submitted ChargeAmount 14256.1
Total Drug Medicare AllowedAmount 13662.91
Total Drug Medicare PaymentAmount 10711.65
Total Drug Medicare Standardized Payment Amount 10711.65
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 24
Number Of Medical Services 932
Number Of Medicare Beneficiaries With Medical Services 440
Total Medical Submitted Charge Amount 99007.08
Total Medical Medicare Allowed Amount 84525.62
Total Medical Medicare Payment Amount 63346.33
Total Medical Medicare Standardized Payment Amount 68164.63
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 93
Number Of Beneficiaries Age 65 to 74 179
Number Of Beneficiaries Age 75 to 84 127
Number Of Beneficiaries Age Greater 84 41
Number Of Female Beneficiaries 188
Number Of Male Beneficiaries 252
Number Of Non Hispanic White Beneficiaries 346
Number Of Black or African American Beneficiaries 28
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 38
Number Of American Indian Alaska Native Beneficiaries 15
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 393
Number Of Beneficiaries With Medicare Medicaid Entitlement 47
Percent Of With Atrial Fibrillation 16
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma 8
Percent Of With Cancer 15
Percent Of With Heart Failure 33
Percent Of With Chronic Kidney Disease 75
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 24
Percent Of With Diabetes 45
Percent Of With Hyperlipidemia 64
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 46
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 3.615

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