National Provider Identifier [NPI]: |
1114980067 |
Last Name Of The Provider |
KARUNAKARA |
First Name Of The Provider |
RAJ |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1834 SW 1ST AVE |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344748101 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
2560 |
Number Of Medicare Beneficiaries |
720 |
Total Submitted Charge Amount |
398374.48 |
Total Medicare Allowed Amount |
297023.08 |
Total Medicare Payment Amount |
230807.72 |
Total Medicare Standardized Payment Amount |
230564.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
39 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
318 |
Total Drug Medicare AllowedAmount |
100.74 |
Total Drug Medicare PaymentAmount |
95.81 |
Total Drug Medicare Standardized Payment Amount |
95.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
2521 |
Number Of Medicare Beneficiaries With Medical Services |
720 |
Total Medical Submitted Charge Amount |
398056.48 |
Total Medical Medicare Allowed Amount |
296922.34 |
Total Medical Medicare Payment Amount |
230711.91 |
Total Medical Medicare Standardized Payment Amount |
230468.75 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
131 |
Number Of Beneficiaries Age 65 to 74 |
243 |
Number Of Beneficiaries Age 75 to 84 |
220 |
Number Of Beneficiaries Age Greater 84 |
126 |
Number Of Female Beneficiaries |
381 |
Number Of Male Beneficiaries |
339 |
Number Of Non Hispanic White Beneficiaries |
628 |
Number Of Black or African American Beneficiaries |
58 |
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 |
519 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
201 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
61 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
64 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.485 |