Medicare Facts for Dr. Karen K. Gelphman, MD


National Provider Identifier [NPI]: 1972565703
Last Name Of The Provider GELPHMAN
First Name Of The Provider KAREN
Middle Initial Of The Provider K
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 3883 AIRWAY DRIVE
Street Address 2 Of The Provider SUITE 202
City Of The Provider SANTA ROSA
Zip Code Of The Provider 954031671
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 60
Number Of Services 897
Number Of Medicare Beneficiaries 201
Total Submitted Charge Amount 162154
Total Medicare Allowed Amount 65729.17
Total Medicare Payment Amount 48710.08
Total Medicare Standardized Payment Amount 46901.44
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 204
Number Of Medicare Beneficiaries With Drug Services 97
Total Drug Submitted ChargeAmount 9077
Total Drug Medicare AllowedAmount 6236.58
Total Drug Medicare PaymentAmount 6044.82
Total Drug Medicare Standardized Payment Amount 6044.82
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 49
Number Of Medical Services 693
Number Of Medicare Beneficiaries With Medical Services 201
Total Medical Submitted Charge Amount 153077
Total Medical Medicare Allowed Amount 59492.59
Total Medical Medicare Payment Amount 42665.26
Total Medical Medicare Standardized Payment Amount 40856.62
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 30
Number Of Beneficiaries Age 65 to 74 96
Number Of Beneficiaries Age 75 to 84 48
Number Of Beneficiaries Age Greater 84 27
Number Of Female Beneficiaries 153
Number Of Male Beneficiaries 48
Number Of Non Hispanic White Beneficiaries 171
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 168
Number Of Beneficiaries With Medicare Medicaid Entitlement 33
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma
Percent Of With Cancer 10
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 21
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 19
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 49
Percent Of With Hypertension 54
Percent Of With Ischemic Heart Disease 27
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 30
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0849

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