National Provider Identifier [NPI]: |
1538254453 |
Last Name Of The Provider |
KURTZ |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7500 SMOKE RANCH RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891280324 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
6248 |
Number Of Medicare Beneficiaries |
1650 |
Total Submitted Charge Amount |
1011964 |
Total Medicare Allowed Amount |
470253.93 |
Total Medicare Payment Amount |
337478.63 |
Total Medicare Standardized Payment Amount |
332868.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1451 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
81592 |
Total Drug Medicare AllowedAmount |
39054.37 |
Total Drug Medicare PaymentAmount |
30098.24 |
Total Drug Medicare Standardized Payment Amount |
30098.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
4797 |
Number Of Medicare Beneficiaries With Medical Services |
1650 |
Total Medical Submitted Charge Amount |
930372 |
Total Medical Medicare Allowed Amount |
431199.56 |
Total Medical Medicare Payment Amount |
307380.39 |
Total Medical Medicare Standardized Payment Amount |
302770.43 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
722 |
Number Of Beneficiaries Age 75 to 84 |
673 |
Number Of Beneficiaries Age Greater 84 |
200 |
Number Of Female Beneficiaries |
397 |
Number Of Male Beneficiaries |
1253 |
Number Of Non Hispanic White Beneficiaries |
1395 |
Number Of Black or African American Beneficiaries |
102 |
Number Of AsianPacific Islander Beneficiaries |
48 |
Number Of Hispanic Beneficiaries |
65 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1592 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.259 |