National Provider Identifier [NPI]: |
1780870444 |
Last Name Of The Provider |
KAROU |
First Name Of The Provider |
FADI |
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 |
2005 PRINCE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ATHENS |
Zip Code Of The Provider |
306066032 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
4995 |
Number Of Medicare Beneficiaries |
1069 |
Total Submitted Charge Amount |
1564845 |
Total Medicare Allowed Amount |
585440.35 |
Total Medicare Payment Amount |
446537 |
Total Medicare Standardized Payment Amount |
468010.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
470 |
Number Of Medicare Beneficiaries With Drug Services |
115 |
Total Drug Submitted ChargeAmount |
58700 |
Total Drug Medicare AllowedAmount |
24902.72 |
Total Drug Medicare PaymentAmount |
18886.07 |
Total Drug Medicare Standardized Payment Amount |
18886.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
4525 |
Number Of Medicare Beneficiaries With Medical Services |
1069 |
Total Medical Submitted Charge Amount |
1506145 |
Total Medical Medicare Allowed Amount |
560537.63 |
Total Medical Medicare Payment Amount |
427650.93 |
Total Medical Medicare Standardized Payment Amount |
449124.69 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
256 |
Number Of Beneficiaries Age 65 to 74 |
417 |
Number Of Beneficiaries Age 75 to 84 |
287 |
Number Of Beneficiaries Age Greater 84 |
109 |
Number Of Female Beneficiaries |
548 |
Number Of Male Beneficiaries |
521 |
Number Of Non Hispanic White Beneficiaries |
780 |
Number Of Black or African American Beneficiaries |
263 |
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 |
671 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
398 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7195 |