National Provider Identifier [NPI]: |
1457341505 |
Last Name Of The Provider |
KARLOCK |
First Name Of The Provider |
LAWRENCE |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1300 S CANFIELD NILES RD |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
AUSTINTOWN |
Zip Code Of The Provider |
445154081 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
4185 |
Number Of Medicare Beneficiaries |
749 |
Total Submitted Charge Amount |
332890.5 |
Total Medicare Allowed Amount |
199402.08 |
Total Medicare Payment Amount |
147526.78 |
Total Medicare Standardized Payment Amount |
154866.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
341 |
Number Of Medicare Beneficiaries With Drug Services |
101 |
Total Drug Submitted ChargeAmount |
511 |
Total Drug Medicare AllowedAmount |
326.2 |
Total Drug Medicare PaymentAmount |
247.29 |
Total Drug Medicare Standardized Payment Amount |
247.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
3844 |
Number Of Medicare Beneficiaries With Medical Services |
749 |
Total Medical Submitted Charge Amount |
332379.5 |
Total Medical Medicare Allowed Amount |
199075.88 |
Total Medical Medicare Payment Amount |
147279.49 |
Total Medical Medicare Standardized Payment Amount |
154619.69 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
112 |
Number Of Beneficiaries Age 65 to 74 |
329 |
Number Of Beneficiaries Age 75 to 84 |
208 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
401 |
Number Of Male Beneficiaries |
348 |
Number Of Non Hispanic White Beneficiaries |
683 |
Number Of Black or African American Beneficiaries |
45 |
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 |
624 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
125 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4824 |