National Provider Identifier [NPI]: |
1710902424 |
Last Name Of The Provider |
KUHLMAN |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2260 W HIGGINS RD |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
HOFFMAN ESTATES |
Zip Code Of The Provider |
601952431 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
2166 |
Number Of Medicare Beneficiaries |
651 |
Total Submitted Charge Amount |
629427 |
Total Medicare Allowed Amount |
301479.54 |
Total Medicare Payment Amount |
218833.5 |
Total Medicare Standardized Payment Amount |
209757.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
215 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
8012 |
Total Drug Medicare AllowedAmount |
459.8 |
Total Drug Medicare PaymentAmount |
341.18 |
Total Drug Medicare Standardized Payment Amount |
341.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
1951 |
Number Of Medicare Beneficiaries With Medical Services |
651 |
Total Medical Submitted Charge Amount |
621415 |
Total Medical Medicare Allowed Amount |
301019.74 |
Total Medical Medicare Payment Amount |
218492.32 |
Total Medical Medicare Standardized Payment Amount |
209416.73 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
204 |
Number Of Beneficiaries Age 75 to 84 |
175 |
Number Of Beneficiaries Age Greater 84 |
115 |
Number Of Female Beneficiaries |
357 |
Number Of Male Beneficiaries |
294 |
Number Of Non Hispanic White Beneficiaries |
586 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
487 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
164 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
27 |
Average HCC Risk Score Of Beneficiaries |
1.7561 |