National Provider Identifier [NPI]: |
1063494706 |
Last Name Of The Provider |
KAROUB |
First Name Of The Provider |
CARL |
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 |
4045 W 13 MILE RD |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
ROYAL OAK |
Zip Code Of The Provider |
480736640 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
7041 |
Number Of Medicare Beneficiaries |
444 |
Total Submitted Charge Amount |
854444.95 |
Total Medicare Allowed Amount |
692434.5 |
Total Medicare Payment Amount |
544415.07 |
Total Medicare Standardized Payment Amount |
534910.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
43 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
1115 |
Total Drug Medicare AllowedAmount |
711.36 |
Total Drug Medicare PaymentAmount |
697.05 |
Total Drug Medicare Standardized Payment Amount |
697.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
6998 |
Number Of Medicare Beneficiaries With Medical Services |
444 |
Total Medical Submitted Charge Amount |
853329.95 |
Total Medical Medicare Allowed Amount |
691723.14 |
Total Medical Medicare Payment Amount |
543718.02 |
Total Medical Medicare Standardized Payment Amount |
534213.34 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
135 |
Number Of Beneficiaries Age 75 to 84 |
174 |
Number Of Beneficiaries Age Greater 84 |
115 |
Number Of Female Beneficiaries |
240 |
Number Of Male Beneficiaries |
204 |
Number Of Non Hispanic White Beneficiaries |
393 |
Number Of Black or African American Beneficiaries |
39 |
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 |
410 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8692 |