National Provider Identifier [NPI]: |
1235218660 |
Last Name Of The Provider |
KARAM |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2770 3RD AVE |
Street Address 2 Of The Provider |
SUITE 350 |
City Of The Provider |
LAKE CHARLES |
Zip Code Of The Provider |
706018994 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
3276 |
Number Of Medicare Beneficiaries |
614 |
Total Submitted Charge Amount |
434715 |
Total Medicare Allowed Amount |
256700.12 |
Total Medicare Payment Amount |
189467.11 |
Total Medicare Standardized Payment Amount |
200274.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
197 |
Number Of Medicare Beneficiaries With Drug Services |
167 |
Total Drug Submitted ChargeAmount |
10414.75 |
Total Drug Medicare AllowedAmount |
7154.3 |
Total Drug Medicare PaymentAmount |
6978.75 |
Total Drug Medicare Standardized Payment Amount |
6978.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
3079 |
Number Of Medicare Beneficiaries With Medical Services |
614 |
Total Medical Submitted Charge Amount |
424300.25 |
Total Medical Medicare Allowed Amount |
249545.82 |
Total Medical Medicare Payment Amount |
182488.36 |
Total Medical Medicare Standardized Payment Amount |
193295.62 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
212 |
Number Of Beneficiaries Age 75 to 84 |
237 |
Number Of Beneficiaries Age Greater 84 |
144 |
Number Of Female Beneficiaries |
366 |
Number Of Male Beneficiaries |
248 |
Number Of Non Hispanic White Beneficiaries |
555 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
545 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
69 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.2664 |