Medicare Facts for Dr. Harry M. Carnes, MD


National Provider Identifier [NPI]: 1588704167
Last Name Of The Provider CARNES
First Name Of The Provider HARRY
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 272 W ATLANTIC AVE
Street Address 2 Of The Provider
City Of The Provider AUDUBON
Zip Code Of The Provider 081061565
State Code Of The Provider NJ
Country Code Of The Provider US
Provider Type Of The Provider General Practice
Medicare Participation Indicator Y
Number Of HCPCS 36
Number Of Services 2655
Number Of Medicare Beneficiaries 474
Total Submitted Charge Amount 237039.29
Total Medicare Allowed Amount 227053.86
Total Medicare Payment Amount 156271.58
Total Medicare Standardized Payment Amount 149194.27
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 217
Number Of Medicare Beneficiaries With Drug Services 207
Total Drug Submitted ChargeAmount 8559
Total Drug Medicare AllowedAmount 7541.7
Total Drug Medicare PaymentAmount 7330.07
Total Drug Medicare Standardized Payment Amount 7330.07
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 31
Number Of Medical Services 2438
Number Of Medicare Beneficiaries With Medical Services 474
Total Medical Submitted Charge Amount 228480.29
Total Medical Medicare Allowed Amount 219512.16
Total Medical Medicare Payment Amount 148941.51
Total Medical Medicare Standardized Payment Amount 141864.2
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 47
Number Of Beneficiaries Age 65 to 74 174
Number Of Beneficiaries Age 75 to 84 151
Number Of Beneficiaries Age Greater 84 102
Number Of Female Beneficiaries 267
Number Of Male Beneficiaries 207
Number Of Non Hispanic White Beneficiaries 455
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 421
Number Of Beneficiaries With Medicare Medicaid Entitlement 53
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 14
Percent Of With Asthma 4
Percent Of With Cancer 9
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 18
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis 4
Percent Of With Rheumatoid Arthritis Osteoarthritis 29
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.0682

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