National Provider Identifier [NPI]: |
1720007545 |
Last Name Of The Provider |
KARAN |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3701 LONE TREE WAY |
Street Address 2 Of The Provider |
SUITE 5 |
City Of The Provider |
ANTIOCH |
Zip Code Of The Provider |
945096038 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
1910 |
Number Of Medicare Beneficiaries |
459 |
Total Submitted Charge Amount |
372087.07 |
Total Medicare Allowed Amount |
252687.39 |
Total Medicare Payment Amount |
192625.01 |
Total Medicare Standardized Payment Amount |
172639.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
159 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
3181.59 |
Total Drug Medicare AllowedAmount |
344.72 |
Total Drug Medicare PaymentAmount |
259.32 |
Total Drug Medicare Standardized Payment Amount |
259.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
1751 |
Number Of Medicare Beneficiaries With Medical Services |
459 |
Total Medical Submitted Charge Amount |
368905.48 |
Total Medical Medicare Allowed Amount |
252342.67 |
Total Medical Medicare Payment Amount |
192365.69 |
Total Medical Medicare Standardized Payment Amount |
172380.32 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
138 |
Number Of Beneficiaries Age 75 to 84 |
136 |
Number Of Beneficiaries Age Greater 84 |
107 |
Number Of Female Beneficiaries |
264 |
Number Of Male Beneficiaries |
195 |
Number Of Non Hispanic White Beneficiaries |
279 |
Number Of Black or African American Beneficiaries |
55 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
64 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
269 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
190 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
41 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
33 |
Average HCC Risk Score Of Beneficiaries |
1.9542 |