National Provider Identifier [NPI]: |
1588621817 |
Last Name Of The Provider |
CHARNES |
First Name Of The Provider |
CURT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1594 FREEDOM BLVD |
Street Address 2 Of The Provider |
STE 202 |
City Of The Provider |
FLORENCE |
Zip Code Of The Provider |
295056046 |
State Code Of The Provider |
SC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
1730 |
Number Of Medicare Beneficiaries |
593 |
Total Submitted Charge Amount |
465685 |
Total Medicare Allowed Amount |
147890.52 |
Total Medicare Payment Amount |
111899.35 |
Total Medicare Standardized Payment Amount |
120382.36 |
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 |
21 |
Number Of Medical Services |
1730 |
Number Of Medicare Beneficiaries With Medical Services |
593 |
Total Medical Submitted Charge Amount |
465685 |
Total Medical Medicare Allowed Amount |
147890.52 |
Total Medical Medicare Payment Amount |
111899.35 |
Total Medical Medicare Standardized Payment Amount |
120382.36 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
66 |
Number Of Beneficiaries Age 65 to 74 |
194 |
Number Of Beneficiaries Age 75 to 84 |
166 |
Number Of Beneficiaries Age Greater 84 |
167 |
Number Of Female Beneficiaries |
381 |
Number Of Male Beneficiaries |
212 |
Number Of Non Hispanic White Beneficiaries |
555 |
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 |
523 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
70 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7024 |