National Provider Identifier [NPI]: |
1245233519 |
Last Name Of The Provider |
KARNAZE |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12554 RIATA VISTA CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787276431 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
210 |
Number Of Services |
6046 |
Number Of Medicare Beneficiaries |
1679 |
Total Submitted Charge Amount |
662202.4 |
Total Medicare Allowed Amount |
105834.7 |
Total Medicare Payment Amount |
80999.38 |
Total Medicare Standardized Payment Amount |
82790.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
3724 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
2710.9 |
Total Drug Medicare AllowedAmount |
709.76 |
Total Drug Medicare PaymentAmount |
551.4 |
Total Drug Medicare Standardized Payment Amount |
551.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
204 |
Number Of Medical Services |
2322 |
Number Of Medicare Beneficiaries With Medical Services |
1679 |
Total Medical Submitted Charge Amount |
659491.5 |
Total Medical Medicare Allowed Amount |
105124.94 |
Total Medical Medicare Payment Amount |
80447.98 |
Total Medical Medicare Standardized Payment Amount |
82239.42 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
410 |
Number Of Beneficiaries Age 65 to 74 |
560 |
Number Of Beneficiaries Age 75 to 84 |
441 |
Number Of Beneficiaries Age Greater 84 |
268 |
Number Of Female Beneficiaries |
941 |
Number Of Male Beneficiaries |
738 |
Number Of Non Hispanic White Beneficiaries |
1137 |
Number Of Black or African American Beneficiaries |
214 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
285 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1174 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
505 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.1706 |