National Provider Identifier [NPI]: |
1609849256 |
Last Name Of The Provider |
KARALIS |
First Name Of The Provider |
DEAN |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
227 N BROAD ST |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191071503 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
3278 |
Number Of Medicare Beneficiaries |
821 |
Total Submitted Charge Amount |
1440591.15 |
Total Medicare Allowed Amount |
309679.98 |
Total Medicare Payment Amount |
233880.33 |
Total Medicare Standardized Payment Amount |
223598.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
308 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
4752.15 |
Total Drug Medicare AllowedAmount |
1571.33 |
Total Drug Medicare PaymentAmount |
1231.71 |
Total Drug Medicare Standardized Payment Amount |
1231.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
2970 |
Number Of Medicare Beneficiaries With Medical Services |
821 |
Total Medical Submitted Charge Amount |
1435839 |
Total Medical Medicare Allowed Amount |
308108.65 |
Total Medical Medicare Payment Amount |
232648.62 |
Total Medical Medicare Standardized Payment Amount |
222366.63 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
168 |
Number Of Beneficiaries Age 65 to 74 |
340 |
Number Of Beneficiaries Age 75 to 84 |
219 |
Number Of Beneficiaries Age Greater 84 |
94 |
Number Of Female Beneficiaries |
375 |
Number Of Male Beneficiaries |
446 |
Number Of Non Hispanic White Beneficiaries |
569 |
Number Of Black or African American Beneficiaries |
193 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
613 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
208 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8662 |