National Provider Identifier [NPI]: |
1588646129 |
Last Name Of The Provider |
KARDESTUNCER |
First Name Of The Provider |
TARIK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
82 NEW PARK AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORTH FRANKLIN |
Zip Code Of The Provider |
062541807 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hand Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
121 |
Number Of Services |
1840 |
Number Of Medicare Beneficiaries |
528 |
Total Submitted Charge Amount |
855854.84 |
Total Medicare Allowed Amount |
258676.94 |
Total Medicare Payment Amount |
193239.33 |
Total Medicare Standardized Payment Amount |
183225.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
178 |
Number Of Medicare Beneficiaries With Drug Services |
146 |
Total Drug Submitted ChargeAmount |
2327 |
Total Drug Medicare AllowedAmount |
318.03 |
Total Drug Medicare PaymentAmount |
238.09 |
Total Drug Medicare Standardized Payment Amount |
238.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
120 |
Number Of Medical Services |
1662 |
Number Of Medicare Beneficiaries With Medical Services |
527 |
Total Medical Submitted Charge Amount |
853527.84 |
Total Medical Medicare Allowed Amount |
258358.91 |
Total Medical Medicare Payment Amount |
193001.24 |
Total Medical Medicare Standardized Payment Amount |
182987.9 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
100 |
Number Of Beneficiaries Age 65 to 74 |
231 |
Number Of Beneficiaries Age 75 to 84 |
141 |
Number Of Beneficiaries Age Greater 84 |
56 |
Number Of Female Beneficiaries |
319 |
Number Of Male Beneficiaries |
209 |
Number Of Non Hispanic White Beneficiaries |
472 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
406 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
122 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2054 |