Medicare Facts for Dr. James B. Karol, MD


National Provider Identifier [NPI]: 1306840954
Last Name Of The Provider KAROL
First Name Of The Provider JAMES
Middle Initial Of The Provider B
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 3300 WEBSTER ST
Street Address 2 Of The Provider STE 710
City Of The Provider OAKLAND
Zip Code Of The Provider 946093122
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Urology
Medicare Participation Indicator Y
Number Of HCPCS 60
Number Of Services 2841
Number Of Medicare Beneficiaries 565
Total Submitted Charge Amount 731323
Total Medicare Allowed Amount 319596.49
Total Medicare Payment Amount 240049.06
Total Medicare Standardized Payment Amount 219231.89
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 290
Number Of Medicare Beneficiaries With Drug Services 36
Total Drug Submitted ChargeAmount 170500
Total Drug Medicare AllowedAmount 58188.55
Total Drug Medicare PaymentAmount 45599.87
Total Drug Medicare Standardized Payment Amount 45599.87
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 56
Number Of Medical Services 2551
Number Of Medicare Beneficiaries With Medical Services 565
Total Medical Submitted Charge Amount 560823
Total Medical Medicare Allowed Amount 261407.94
Total Medical Medicare Payment Amount 194449.19
Total Medical Medicare Standardized Payment Amount 173632.02
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 294
Number Of Beneficiaries Age 75 to 84 204
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 49
Number Of Male Beneficiaries 516
Number Of Non Hispanic White Beneficiaries 483
Number Of Black or African American Beneficiaries 19
Number Of AsianPacific Islander Beneficiaries 20
Number Of Hispanic Beneficiaries 30
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 13
Number Of Beneficiaries With Medicare Only Entitlement 554
Number Of Beneficiaries With Medicare Medicaid Entitlement 11
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 5
Percent Of With Cancer 40
Percent Of With Heart Failure 9
Percent Of With Chronic Kidney Disease 19
Percent Of With Chronic Obstructive Pulmonary Disease 5
Percent Of With Depression 10
Percent Of With Diabetes 19
Percent Of With Hyperlipidemia 62
Percent Of With Hypertension 58
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 30
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 0.8785

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