Medicare Facts for Karen S. Gates, PA-C


National Provider Identifier [NPI]: 1538253042
Last Name Of The Provider GATES
First Name Of The Provider KAREN
Middle Initial Of The Provider S
Credentials Of The Provider P.A.-C.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 3061 FIELDSTONE WAY
Street Address 2 Of The Provider SUITE 700
City Of The Provider LEXINGTON
Zip Code Of The Provider 40513
State Code Of The Provider KY
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 27
Number Of Services 1425
Number Of Medicare Beneficiaries 261
Total Submitted Charge Amount 48443
Total Medicare Allowed Amount 19302.3
Total Medicare Payment Amount 13416.97
Total Medicare Standardized Payment Amount 17672.73
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 1000
Number Of Medicare Beneficiaries With Drug Services 18
Total Drug Submitted ChargeAmount 3474
Total Drug Medicare AllowedAmount 1008.36
Total Drug Medicare PaymentAmount 790.28
Total Drug Medicare Standardized Payment Amount 790.28
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 21
Number Of Medical Services 425
Number Of Medicare Beneficiaries With Medical Services 261
Total Medical Submitted Charge Amount 44969
Total Medical Medicare Allowed Amount 18293.94
Total Medical Medicare Payment Amount 12626.69
Total Medical Medicare Standardized Payment Amount 16882.45
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 28
Number Of Beneficiaries Age 65 to 74 120
Number Of Beneficiaries Age 75 to 84 84
Number Of Beneficiaries Age Greater 84 29
Number Of Female Beneficiaries 169
Number Of Male Beneficiaries 92
Number Of Non Hispanic White Beneficiaries 238
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 236
Number Of Beneficiaries With Medicare Medicaid Entitlement 25
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 8
Percent Of With Cancer 8
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 21
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 62
Percent Of With Hypertension 68
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 43
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9486

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