National Provider Identifier [NPI]: |
1245207018 |
Last Name Of The Provider |
KARETI |
First Name Of The Provider |
KIRAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8075 N SHADELAND AVE |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
INDIANAPOLIS |
Zip Code Of The Provider |
46250 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
2677 |
Number Of Medicare Beneficiaries |
1371 |
Total Submitted Charge Amount |
343537 |
Total Medicare Allowed Amount |
177481.07 |
Total Medicare Payment Amount |
128022.44 |
Total Medicare Standardized Payment Amount |
135234.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
2677 |
Number Of Medicare Beneficiaries With Medical Services |
1371 |
Total Medical Submitted Charge Amount |
343537 |
Total Medical Medicare Allowed Amount |
177481.07 |
Total Medical Medicare Payment Amount |
128022.44 |
Total Medical Medicare Standardized Payment Amount |
135234.84 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
184 |
Number Of Beneficiaries Age 65 to 74 |
551 |
Number Of Beneficiaries Age 75 to 84 |
390 |
Number Of Beneficiaries Age Greater 84 |
246 |
Number Of Female Beneficiaries |
700 |
Number Of Male Beneficiaries |
671 |
Number Of Non Hispanic White Beneficiaries |
1126 |
Number Of Black or African American Beneficiaries |
210 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1135 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
236 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7493 |