Medicare Facts for Dr. James A. Karlson, MD


National Provider Identifier [NPI]: 1114915261
Last Name Of The Provider KARLSON
First Name Of The Provider JAMES
Middle Initial Of The Provider A
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 300 MOUNT AUBURN ST
Street Address 2 Of The Provider SUITE 505
City Of The Provider CAMBRIDGE
Zip Code Of The Provider 021385600
State Code Of The Provider MA
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 50
Number Of Services 1456.5
Number Of Medicare Beneficiaries 311
Total Submitted Charge Amount 637111.32
Total Medicare Allowed Amount 122970.36
Total Medicare Payment Amount 93143.09
Total Medicare Standardized Payment Amount 87779.64
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 559.5
Number Of Medicare Beneficiaries With Drug Services 151
Total Drug Submitted ChargeAmount 33902.41
Total Drug Medicare AllowedAmount 12948.52
Total Drug Medicare PaymentAmount 10073.59
Total Drug Medicare Standardized Payment Amount 10073.59
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 45
Number Of Medical Services 897
Number Of Medicare Beneficiaries With Medical Services 311
Total Medical Submitted Charge Amount 603208.91
Total Medical Medicare Allowed Amount 110021.84
Total Medical Medicare Payment Amount 83069.5
Total Medical Medicare Standardized Payment Amount 77706.05
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 25
Number Of Beneficiaries Age 65 to 74 171
Number Of Beneficiaries Age 75 to 84 93
Number Of Beneficiaries Age Greater 84 22
Number Of Female Beneficiaries 194
Number Of Male Beneficiaries 117
Number Of Non Hispanic White Beneficiaries 287
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 285
Number Of Beneficiaries With Medicare Medicaid Entitlement 26
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 4
Percent Of With Asthma 8
Percent Of With Cancer 11
Percent Of With Heart Failure 8
Percent Of With Chronic Kidney Disease 11
Percent Of With Chronic Obstructive Pulmonary Disease 7
Percent Of With Depression 24
Percent Of With Diabetes 16
Percent Of With Hyperlipidemia 46
Percent Of With Hypertension 53
Percent Of With Ischemic Heart Disease 21
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 73
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8389

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