National Provider Identifier [NPI]: |
1831196773 |
Last Name Of The Provider |
KARL |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
912 INLET SQUARE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
MURRELLS INLET |
Zip Code Of The Provider |
295767812 |
State Code Of The Provider |
SC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
5492 |
Number Of Medicare Beneficiaries |
914 |
Total Submitted Charge Amount |
705837.1 |
Total Medicare Allowed Amount |
334251.09 |
Total Medicare Payment Amount |
235089.12 |
Total Medicare Standardized Payment Amount |
252991.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
1267 |
Number Of Medicare Beneficiaries With Drug Services |
201 |
Total Drug Submitted ChargeAmount |
68106 |
Total Drug Medicare AllowedAmount |
21259.8 |
Total Drug Medicare PaymentAmount |
17653.64 |
Total Drug Medicare Standardized Payment Amount |
17653.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
4225 |
Number Of Medicare Beneficiaries With Medical Services |
914 |
Total Medical Submitted Charge Amount |
637731.1 |
Total Medical Medicare Allowed Amount |
312991.29 |
Total Medical Medicare Payment Amount |
217435.48 |
Total Medical Medicare Standardized Payment Amount |
235337.91 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
581 |
Number Of Beneficiaries Age 75 to 84 |
215 |
Number Of Beneficiaries Age Greater 84 |
58 |
Number Of Female Beneficiaries |
367 |
Number Of Male Beneficiaries |
547 |
Number Of Non Hispanic White Beneficiaries |
868 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
887 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.794 |