Medicare Facts for Dr. Karen A. Delhey, MD


National Provider Identifier [NPI]: 1235180597
Last Name Of The Provider DELHEY
First Name Of The Provider KAREN
Middle Initial Of The Provider A
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 6560 FANNIN ST
Street Address 2 Of The Provider SUITE 1900
City Of The Provider HOUSTON
Zip Code Of The Provider 770302761
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Urology
Medicare Participation Indicator Y
Number Of HCPCS 79
Number Of Services 3369
Number Of Medicare Beneficiaries 617
Total Submitted Charge Amount 234351.1
Total Medicare Allowed Amount 206275.29
Total Medicare Payment Amount 149553.58
Total Medicare Standardized Payment Amount 154404.9
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 612
Number Of Medicare Beneficiaries With Drug Services 18
Total Drug Submitted ChargeAmount 6603.37
Total Drug Medicare AllowedAmount 6358.23
Total Drug Medicare PaymentAmount 4934.78
Total Drug Medicare Standardized Payment Amount 4934.78
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 72
Number Of Medical Services 2757
Number Of Medicare Beneficiaries With Medical Services 617
Total Medical Submitted Charge Amount 227747.73
Total Medical Medicare Allowed Amount 199917.06
Total Medical Medicare Payment Amount 144618.8
Total Medical Medicare Standardized Payment Amount 149470.12
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 55
Number Of Beneficiaries Age 65 to 74 270
Number Of Beneficiaries Age 75 to 84 196
Number Of Beneficiaries Age Greater 84 96
Number Of Female Beneficiaries 490
Number Of Male Beneficiaries 127
Number Of Non Hispanic White Beneficiaries 493
Number Of Black or African American Beneficiaries 60
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 51
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 576
Number Of Beneficiaries With Medicare Medicaid Entitlement 41
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 8
Percent Of With Cancer 14
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 21
Percent Of With Diabetes 27
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 35
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 45
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.2391

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