Medicare Facts for Dr. Karl A. Zimmerman, MD


National Provider Identifier [NPI]: 1154439966
Last Name Of The Provider ZIMMERMAN
First Name Of The Provider KARL
Middle Initial Of The Provider A
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 127 W STREET RD
Street Address 2 Of The Provider SUITE 101
City Of The Provider KENNETT SQUARE
Zip Code Of The Provider 193481698
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 37
Number Of Services 3963
Number Of Medicare Beneficiaries 753
Total Submitted Charge Amount 371784
Total Medicare Allowed Amount 304451.96
Total Medicare Payment Amount 218314.77
Total Medicare Standardized Payment Amount 211474.46
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 526
Number Of Medicare Beneficiaries With Drug Services 327
Total Drug Submitted ChargeAmount 22131
Total Drug Medicare AllowedAmount 7580.38
Total Drug Medicare PaymentAmount 7311.15
Total Drug Medicare Standardized Payment Amount 7311.15
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 30
Number Of Medical Services 3437
Number Of Medicare Beneficiaries With Medical Services 753
Total Medical Submitted Charge Amount 349653
Total Medical Medicare Allowed Amount 296871.58
Total Medical Medicare Payment Amount 211003.62
Total Medical Medicare Standardized Payment Amount 204163.31
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 36
Number Of Beneficiaries Age 65 to 74 321
Number Of Beneficiaries Age 75 to 84 242
Number Of Beneficiaries Age Greater 84 154
Number Of Female Beneficiaries 423
Number Of Male Beneficiaries 330
Number Of Non Hispanic White Beneficiaries 706
Number Of Black or African American Beneficiaries 17
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 15
Number Of Beneficiaries With Medicare Only Entitlement 663
Number Of Beneficiaries With Medicare Medicaid Entitlement 90
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 15
Percent Of With Asthma 5
Percent Of With Cancer 14
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 19
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 18
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 65
Percent Of With Hypertension 70
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.1002

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