National Provider Identifier [NPI]: |
1205817384 |
Last Name Of The Provider |
KAUFMANN |
First Name Of The Provider |
ROBERT |
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 |
300 W NINTH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
FREDERICK |
Zip Code Of The Provider |
217014541 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
10747 |
Number Of Medicare Beneficiaries |
1183 |
Total Submitted Charge Amount |
611284.5 |
Total Medicare Allowed Amount |
382249.66 |
Total Medicare Payment Amount |
292695.74 |
Total Medicare Standardized Payment Amount |
289034.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
1032 |
Number Of Medicare Beneficiaries With Drug Services |
400 |
Total Drug Submitted ChargeAmount |
24695 |
Total Drug Medicare AllowedAmount |
16453.12 |
Total Drug Medicare PaymentAmount |
14797.44 |
Total Drug Medicare Standardized Payment Amount |
14797.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
9715 |
Number Of Medicare Beneficiaries With Medical Services |
1183 |
Total Medical Submitted Charge Amount |
586589.5 |
Total Medical Medicare Allowed Amount |
365796.54 |
Total Medical Medicare Payment Amount |
277898.3 |
Total Medical Medicare Standardized Payment Amount |
274237.05 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
88 |
Number Of Beneficiaries Age 65 to 74 |
383 |
Number Of Beneficiaries Age 75 to 84 |
392 |
Number Of Beneficiaries Age Greater 84 |
320 |
Number Of Female Beneficiaries |
688 |
Number Of Male Beneficiaries |
495 |
Number Of Non Hispanic White Beneficiaries |
1071 |
Number Of Black or African American Beneficiaries |
78 |
Number Of AsianPacific Islander Beneficiaries |
13 |
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 |
1016 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
167 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4161 |