National Provider Identifier [NPI]: |
1811998297 |
Last Name Of The Provider |
KARAMALI |
First Name Of The Provider |
ADIL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1601 BRIGHAM DR |
Street Address 2 Of The Provider |
SUITE 120 |
City Of The Provider |
PERRYSBURG |
Zip Code Of The Provider |
435517114 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
3164 |
Number Of Medicare Beneficiaries |
1373 |
Total Submitted Charge Amount |
549336.75 |
Total Medicare Allowed Amount |
260801.71 |
Total Medicare Payment Amount |
193516.67 |
Total Medicare Standardized Payment Amount |
201368.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
3164 |
Number Of Medicare Beneficiaries With Medical Services |
1373 |
Total Medical Submitted Charge Amount |
549336.75 |
Total Medical Medicare Allowed Amount |
260801.71 |
Total Medical Medicare Payment Amount |
193516.67 |
Total Medical Medicare Standardized Payment Amount |
201368.57 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
185 |
Number Of Beneficiaries Age 65 to 74 |
578 |
Number Of Beneficiaries Age 75 to 84 |
421 |
Number Of Beneficiaries Age Greater 84 |
189 |
Number Of Female Beneficiaries |
660 |
Number Of Male Beneficiaries |
713 |
Number Of Non Hispanic White Beneficiaries |
1227 |
Number Of Black or African American Beneficiaries |
69 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1160 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
213 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6562 |