National Provider Identifier [NPI]: |
1053318550 |
Last Name Of The Provider |
KAUFMAN |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5995 BARFIELD RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SANDY SPRINGS |
Zip Code Of The Provider |
303284411 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
8636 |
Number Of Medicare Beneficiaries |
978 |
Total Submitted Charge Amount |
4526681 |
Total Medicare Allowed Amount |
2076794.4 |
Total Medicare Payment Amount |
1587715.77 |
Total Medicare Standardized Payment Amount |
1583528.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
2579 |
Number Of Medicare Beneficiaries With Drug Services |
273 |
Total Drug Submitted ChargeAmount |
2323762 |
Total Drug Medicare AllowedAmount |
1350299.5 |
Total Drug Medicare PaymentAmount |
1042187.36 |
Total Drug Medicare Standardized Payment Amount |
1042187.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
6057 |
Number Of Medicare Beneficiaries With Medical Services |
977 |
Total Medical Submitted Charge Amount |
2202919 |
Total Medical Medicare Allowed Amount |
726494.9 |
Total Medical Medicare Payment Amount |
545528.41 |
Total Medical Medicare Standardized Payment Amount |
541340.97 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
351 |
Number Of Beneficiaries Age 75 to 84 |
339 |
Number Of Beneficiaries Age Greater 84 |
250 |
Number Of Female Beneficiaries |
565 |
Number Of Male Beneficiaries |
413 |
Number Of Non Hispanic White Beneficiaries |
807 |
Number Of Black or African American Beneficiaries |
100 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
890 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
88 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4348 |