National Provider Identifier [NPI]: |
1669484465 |
Last Name Of The Provider |
KARSNER |
First Name Of The Provider |
CAROL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
ARNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
120 PROGRESS WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
OWENTON |
Zip Code Of The Provider |
403591502 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
16 |
Number Of Services |
1310 |
Number Of Medicare Beneficiaries |
147 |
Total Submitted Charge Amount |
224030 |
Total Medicare Allowed Amount |
190135.44 |
Total Medicare Payment Amount |
142150.56 |
Total Medicare Standardized Payment Amount |
176990.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
30 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
1500 |
Total Drug Medicare AllowedAmount |
904.75 |
Total Drug Medicare PaymentAmount |
886.6 |
Total Drug Medicare Standardized Payment Amount |
886.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
14 |
Number Of Medical Services |
1280 |
Number Of Medicare Beneficiaries With Medical Services |
147 |
Total Medical Submitted Charge Amount |
222530 |
Total Medical Medicare Allowed Amount |
189230.69 |
Total Medical Medicare Payment Amount |
141263.96 |
Total Medical Medicare Standardized Payment Amount |
176104.19 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
48 |
Number Of Beneficiaries Age 75 to 84 |
30 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
84 |
Number Of Male Beneficiaries |
63 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
41 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
106 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
46 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
Percent Of With Depression |
52 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
48 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.7652 |