National Provider Identifier [NPI]: |
1932310034 |
Last Name Of The Provider |
LOG |
First Name Of The Provider |
KARNG |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7780 S BROADWAY |
Street Address 2 Of The Provider |
SUITE 380 |
City Of The Provider |
LITTLETON |
Zip Code Of The Provider |
801222648 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
15365 |
Number Of Medicare Beneficiaries |
202 |
Total Submitted Charge Amount |
709778.59 |
Total Medicare Allowed Amount |
380243.42 |
Total Medicare Payment Amount |
298116.11 |
Total Medicare Standardized Payment Amount |
296939.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
39 |
Number Of Drug Services |
14197 |
Number Of Medicare Beneficiaries With Drug Services |
48 |
Total Drug Submitted ChargeAmount |
556154.59 |
Total Drug Medicare AllowedAmount |
299374.22 |
Total Drug Medicare PaymentAmount |
234709.3 |
Total Drug Medicare Standardized Payment Amount |
234709.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
1168 |
Number Of Medicare Beneficiaries With Medical Services |
202 |
Total Medical Submitted Charge Amount |
153624 |
Total Medical Medicare Allowed Amount |
80869.2 |
Total Medical Medicare Payment Amount |
63406.81 |
Total Medical Medicare Standardized Payment Amount |
62230.03 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
88 |
Number Of Beneficiaries Age 75 to 84 |
65 |
Number Of Beneficiaries Age Greater 84 |
27 |
Number Of Female Beneficiaries |
121 |
Number Of Male Beneficiaries |
81 |
Number Of Non Hispanic White Beneficiaries |
189 |
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 |
188 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
14 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
39 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.8682 |