National Provider Identifier [NPI]: |
1699709840 |
Last Name Of The Provider |
BECKNER |
First Name Of The Provider |
KARA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2722 MERRILEE DR |
Street Address 2 Of The Provider |
#230 |
City Of The Provider |
FAIRFAX |
Zip Code Of The Provider |
220314400 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
33850 |
Number Of Medicare Beneficiaries |
2120 |
Total Submitted Charge Amount |
1390713 |
Total Medicare Allowed Amount |
307896.47 |
Total Medicare Payment Amount |
230086.16 |
Total Medicare Standardized Payment Amount |
205563.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
31199 |
Number Of Medicare Beneficiaries With Drug Services |
306 |
Total Drug Submitted ChargeAmount |
44114 |
Total Drug Medicare AllowedAmount |
6110.02 |
Total Drug Medicare PaymentAmount |
4221.42 |
Total Drug Medicare Standardized Payment Amount |
4221.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
102 |
Number Of Medical Services |
2651 |
Number Of Medicare Beneficiaries With Medical Services |
2120 |
Total Medical Submitted Charge Amount |
1346599 |
Total Medical Medicare Allowed Amount |
301786.45 |
Total Medical Medicare Payment Amount |
225864.74 |
Total Medical Medicare Standardized Payment Amount |
201342.08 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
210 |
Number Of Beneficiaries Age 65 to 74 |
897 |
Number Of Beneficiaries Age 75 to 84 |
692 |
Number Of Beneficiaries Age Greater 84 |
321 |
Number Of Female Beneficiaries |
1175 |
Number Of Male Beneficiaries |
945 |
Number Of Non Hispanic White Beneficiaries |
1567 |
Number Of Black or African American Beneficiaries |
145 |
Number Of AsianPacific Islander Beneficiaries |
251 |
Number Of Hispanic Beneficiaries |
95 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1768 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
352 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5736 |