National Provider Identifier [NPI]: |
1134337983 |
Last Name Of The Provider |
KARLEKAR |
First Name Of The Provider |
KAVITA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD, FAAP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1607 WESTGATE CIRCLE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
BRENTWOOD |
Zip Code Of The Provider |
370278075 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
621 |
Number Of Medicare Beneficiaries |
194 |
Total Submitted Charge Amount |
91707.86 |
Total Medicare Allowed Amount |
47444.96 |
Total Medicare Payment Amount |
35714.25 |
Total Medicare Standardized Payment Amount |
38257.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
59 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
2407.24 |
Total Drug Medicare AllowedAmount |
1822.37 |
Total Drug Medicare PaymentAmount |
1784.74 |
Total Drug Medicare Standardized Payment Amount |
1784.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
562 |
Number Of Medicare Beneficiaries With Medical Services |
194 |
Total Medical Submitted Charge Amount |
89300.62 |
Total Medical Medicare Allowed Amount |
45622.59 |
Total Medical Medicare Payment Amount |
33929.51 |
Total Medical Medicare Standardized Payment Amount |
36472.68 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
88 |
Number Of Beneficiaries Age 75 to 84 |
59 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
136 |
Number Of Male Beneficiaries |
58 |
Number Of Non Hispanic White Beneficiaries |
183 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
0 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
171 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
23 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
|
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1611 |