Medicare Facts for Dr. Carrie A. Klene, DDS


National Provider Identifier [NPI]: 1083757355
Last Name Of The Provider KLENE
First Name Of The Provider CARRIE
Middle Initial Of The Provider
Credentials Of The Provider DDS
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 550 N. UNIVERSITY BLVD.
Street Address 2 Of The Provider #3195
City Of The Provider INDIANAPOLIS
Zip Code Of The Provider 462025167
State Code Of The Provider IN
Country Code Of The Provider US
Provider Type Of The Provider Oral Surgery (dentists only)
Medicare Participation Indicator Y
Number Of HCPCS 24
Number Of Services 47
Number Of Medicare Beneficiaries 27
Total Submitted Charge Amount 38839
Total Medicare Allowed Amount 12182.37
Total Medicare Payment Amount 9550.99
Total Medicare Standardized Payment Amount 10138.12
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 24
Number Of Medical Services 47
Number Of Medicare Beneficiaries With Medical Services 27
Total Medical Submitted Charge Amount 38839
Total Medical Medicare Allowed Amount 12182.37
Total Medical Medicare Payment Amount 9550.99
Total Medical Medicare Standardized Payment Amount 10138.12
Average Age Of Beneficiaries 64
Number Of Beneficiaries Age Less65 14
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 16
Number Of Male Beneficiaries 11
Number Of Non Hispanic White Beneficiaries
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
Number Of Beneficiaries With Medicare Only Entitlement 13
Number Of Beneficiaries With Medicare Medicaid Entitlement 14
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes
Percent Of With Hyperlipidemia 41
Percent Of With Hypertension 67
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 59
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 1.4384

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