National Provider Identifier [NPI]: |
1750305538 |
Last Name Of The Provider |
KALO |
First Name Of The Provider |
MOHAMMAD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8048 OHIO RIVER RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WHEELERSBURG |
Zip Code Of The Provider |
456941621 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
14198 |
Number Of Medicare Beneficiaries |
1004 |
Total Submitted Charge Amount |
1103398.17 |
Total Medicare Allowed Amount |
689494.42 |
Total Medicare Payment Amount |
540850.26 |
Total Medicare Standardized Payment Amount |
600659.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
453 |
Number Of Medicare Beneficiaries With Drug Services |
138 |
Total Drug Submitted ChargeAmount |
7643 |
Total Drug Medicare AllowedAmount |
893.11 |
Total Drug Medicare PaymentAmount |
763.94 |
Total Drug Medicare Standardized Payment Amount |
763.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
13745 |
Number Of Medicare Beneficiaries With Medical Services |
1004 |
Total Medical Submitted Charge Amount |
1095755.17 |
Total Medical Medicare Allowed Amount |
688601.31 |
Total Medical Medicare Payment Amount |
540086.32 |
Total Medical Medicare Standardized Payment Amount |
599895.23 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
238 |
Number Of Beneficiaries Age 65 to 74 |
335 |
Number Of Beneficiaries Age 75 to 84 |
262 |
Number Of Beneficiaries Age Greater 84 |
169 |
Number Of Female Beneficiaries |
611 |
Number Of Male Beneficiaries |
393 |
Number Of Non Hispanic White Beneficiaries |
981 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
500 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
504 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
45 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9031 |