National Provider Identifier [NPI]: |
1740209303 |
Last Name Of The Provider |
KARAMLOU |
First Name Of The Provider |
KATHY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
355 PLACENTIA AVE |
Street Address 2 Of The Provider |
SUITE 208 |
City Of The Provider |
NEWPORT BEACH |
Zip Code Of The Provider |
926633311 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
4986 |
Number Of Medicare Beneficiaries |
415 |
Total Submitted Charge Amount |
373380 |
Total Medicare Allowed Amount |
211464.89 |
Total Medicare Payment Amount |
156549.36 |
Total Medicare Standardized Payment Amount |
146106.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
3379 |
Number Of Medicare Beneficiaries With Drug Services |
70 |
Total Drug Submitted ChargeAmount |
120840 |
Total Drug Medicare AllowedAmount |
71913.63 |
Total Drug Medicare PaymentAmount |
56373.65 |
Total Drug Medicare Standardized Payment Amount |
56373.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
1607 |
Number Of Medicare Beneficiaries With Medical Services |
415 |
Total Medical Submitted Charge Amount |
252540 |
Total Medical Medicare Allowed Amount |
139551.26 |
Total Medical Medicare Payment Amount |
100175.71 |
Total Medical Medicare Standardized Payment Amount |
89732.69 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
190 |
Number Of Beneficiaries Age 75 to 84 |
161 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
320 |
Number Of Male Beneficiaries |
95 |
Number Of Non Hispanic White Beneficiaries |
377 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3111 |