National Provider Identifier [NPI]: |
1356510762 |
Last Name Of The Provider |
SUTTER |
First Name Of The Provider |
KARI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
525 OKEECHOBEE BLVD |
Street Address 2 Of The Provider |
14TH FLOOR |
City Of The Provider |
WEST PALM BEACH |
Zip Code Of The Provider |
334016349 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
8773 |
Number Of Medicare Beneficiaries |
294 |
Total Submitted Charge Amount |
810071.72 |
Total Medicare Allowed Amount |
210845.41 |
Total Medicare Payment Amount |
160122.06 |
Total Medicare Standardized Payment Amount |
157306.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
21 |
Number Of Drug Services |
7696 |
Number Of Medicare Beneficiaries With Drug Services |
88 |
Total Drug Submitted ChargeAmount |
595380.9 |
Total Drug Medicare AllowedAmount |
126885.47 |
Total Drug Medicare PaymentAmount |
99050.86 |
Total Drug Medicare Standardized Payment Amount |
99050.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
1077 |
Number Of Medicare Beneficiaries With Medical Services |
291 |
Total Medical Submitted Charge Amount |
214690.82 |
Total Medical Medicare Allowed Amount |
83959.94 |
Total Medical Medicare Payment Amount |
61071.2 |
Total Medical Medicare Standardized Payment Amount |
58255.87 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
141 |
Number Of Beneficiaries Age 75 to 84 |
102 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
223 |
Number Of Male Beneficiaries |
71 |
Number Of Non Hispanic White Beneficiaries |
253 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
269 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
30 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1522 |