Medicare Facts for Dr. Don Karabelnik, MD


National Provider Identifier [NPI]: 1255325411
Last Name Of The Provider KARABELNIK
First Name Of The Provider DON
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 225 N KENHORST BLVD
Street Address 2 Of The Provider
City Of The Provider READING
Zip Code Of The Provider 196071535
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 40
Number Of Services 1740
Number Of Medicare Beneficiaries 361
Total Submitted Charge Amount 128181.85
Total Medicare Allowed Amount 98317.58
Total Medicare Payment Amount 69684.9
Total Medicare Standardized Payment Amount 73964.83
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 230
Number Of Medicare Beneficiaries With Drug Services 201
Total Drug Submitted ChargeAmount 5610
Total Drug Medicare AllowedAmount 2834.63
Total Drug Medicare PaymentAmount 2749.03
Total Drug Medicare Standardized Payment Amount 2749.03
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 35
Number Of Medical Services 1510
Number Of Medicare Beneficiaries With Medical Services 361
Total Medical Submitted Charge Amount 122571.85
Total Medical Medicare Allowed Amount 95482.95
Total Medical Medicare Payment Amount 66935.87
Total Medical Medicare Standardized Payment Amount 71215.8
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 16
Number Of Beneficiaries Age 65 to 74 148
Number Of Beneficiaries Age 75 to 84 120
Number Of Beneficiaries Age Greater 84 77
Number Of Female Beneficiaries 216
Number Of Male Beneficiaries 145
Number Of Non Hispanic White Beneficiaries 350
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
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 340
Number Of Beneficiaries With Medicare Medicaid Entitlement 21
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 8
Percent Of With Cancer 10
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 12
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 16
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 24
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 1.0241

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