National Provider Identifier [NPI]: |
1972536530 |
Last Name Of The Provider |
KUPERBERG |
First Name Of The Provider |
KAREN |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
A.R.N.P. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 W NORTH BLVD |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
LEESBURG |
Zip Code Of The Provider |
347485063 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
4958 |
Number Of Medicare Beneficiaries |
716 |
Total Submitted Charge Amount |
456394.71 |
Total Medicare Allowed Amount |
197250.76 |
Total Medicare Payment Amount |
146099.94 |
Total Medicare Standardized Payment Amount |
161797.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2193 |
Number Of Medicare Beneficiaries With Drug Services |
211 |
Total Drug Submitted ChargeAmount |
144051.71 |
Total Drug Medicare AllowedAmount |
69943.69 |
Total Drug Medicare PaymentAmount |
53930.97 |
Total Drug Medicare Standardized Payment Amount |
53930.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
2765 |
Number Of Medicare Beneficiaries With Medical Services |
716 |
Total Medical Submitted Charge Amount |
312343 |
Total Medical Medicare Allowed Amount |
127307.07 |
Total Medical Medicare Payment Amount |
92168.97 |
Total Medical Medicare Standardized Payment Amount |
107866.78 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
346 |
Number Of Beneficiaries Age 75 to 84 |
266 |
Number Of Beneficiaries Age Greater 84 |
85 |
Number Of Female Beneficiaries |
420 |
Number Of Male Beneficiaries |
296 |
Number Of Non Hispanic White Beneficiaries |
692 |
Number Of Black or African American Beneficiaries |
|
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 |
698 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.0721 |