Medicare Facts for Dr. Karolyn M. Senica, MD


National Provider Identifier [NPI]: 1609855485
Last Name Of The Provider SENICA
First Name Of The Provider KAROLYN
Middle Initial Of The Provider M
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1301 S KOKE MILL RD
Street Address 2 Of The Provider
City Of The Provider SPRINGFIELD
Zip Code Of The Provider 627119252
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 82
Number Of Services 12635
Number Of Medicare Beneficiaries 1076
Total Submitted Charge Amount 1859585
Total Medicare Allowed Amount 376085.45
Total Medicare Payment Amount 275187.25
Total Medicare Standardized Payment Amount 287108.91
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 8097
Number Of Medicare Beneficiaries With Drug Services 572
Total Drug Submitted ChargeAmount 235362
Total Drug Medicare AllowedAmount 59638.57
Total Drug Medicare PaymentAmount 46420.91
Total Drug Medicare Standardized Payment Amount 46420.91
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 76
Number Of Medical Services 4538
Number Of Medicare Beneficiaries With Medical Services 1076
Total Medical Submitted Charge Amount 1624223
Total Medical Medicare Allowed Amount 316446.88
Total Medical Medicare Payment Amount 228766.34
Total Medical Medicare Standardized Payment Amount 240688
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 109
Number Of Beneficiaries Age 65 to 74 438
Number Of Beneficiaries Age 75 to 84 350
Number Of Beneficiaries Age Greater 84 179
Number Of Female Beneficiaries 730
Number Of Male Beneficiaries 346
Number Of Non Hispanic White Beneficiaries 1036
Number Of Black or African American Beneficiaries 19
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 937
Number Of Beneficiaries With Medicare Medicaid Entitlement 139
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 9
Percent Of With Cancer 10
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 25
Percent Of With Diabetes 28
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 66
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 71
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.0821

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