National Provider Identifier [NPI]: |
1043285208 |
Last Name Of The Provider |
KARNES-AMZIBEL |
First Name Of The Provider |
PATRICIA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
316 RAILROAD AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
GOLDSBORO |
Zip Code Of The Provider |
21636 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
1156 |
Number Of Medicare Beneficiaries |
501 |
Total Submitted Charge Amount |
21556 |
Total Medicare Allowed Amount |
12632.86 |
Total Medicare Payment Amount |
8764.11 |
Total Medicare Standardized Payment Amount |
9787.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
165 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
1396 |
Total Drug Medicare AllowedAmount |
540.94 |
Total Drug Medicare PaymentAmount |
417.57 |
Total Drug Medicare Standardized Payment Amount |
417.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
991 |
Number Of Medicare Beneficiaries With Medical Services |
499 |
Total Medical Submitted Charge Amount |
20160 |
Total Medical Medicare Allowed Amount |
12091.92 |
Total Medical Medicare Payment Amount |
8346.54 |
Total Medical Medicare Standardized Payment Amount |
9369.96 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
144 |
Number Of Beneficiaries Age 65 to 74 |
200 |
Number Of Beneficiaries Age 75 to 84 |
121 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
305 |
Number Of Male Beneficiaries |
196 |
Number Of Non Hispanic White Beneficiaries |
366 |
Number Of Black or African American Beneficiaries |
118 |
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 |
300 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
201 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0141 |