National Provider Identifier [NPI]: |
1679581441 |
Last Name Of The Provider |
KAREHA |
First Name Of The Provider |
LOUIS |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
790 NORTHERN BLVD |
Street Address 2 Of The Provider |
SUITE K |
City Of The Provider |
CLARKS SUMMIT |
Zip Code Of The Provider |
184111087 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
2623 |
Number Of Medicare Beneficiaries |
524 |
Total Submitted Charge Amount |
333586 |
Total Medicare Allowed Amount |
206397.6 |
Total Medicare Payment Amount |
153167.21 |
Total Medicare Standardized Payment Amount |
159035.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
179 |
Number Of Medicare Beneficiaries With Drug Services |
117 |
Total Drug Submitted ChargeAmount |
6871 |
Total Drug Medicare AllowedAmount |
3919.83 |
Total Drug Medicare PaymentAmount |
3693.72 |
Total Drug Medicare Standardized Payment Amount |
3693.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
2444 |
Number Of Medicare Beneficiaries With Medical Services |
524 |
Total Medical Submitted Charge Amount |
326715 |
Total Medical Medicare Allowed Amount |
202477.77 |
Total Medical Medicare Payment Amount |
149473.49 |
Total Medical Medicare Standardized Payment Amount |
155341.54 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
175 |
Number Of Beneficiaries Age 75 to 84 |
176 |
Number Of Beneficiaries Age Greater 84 |
98 |
Number Of Female Beneficiaries |
314 |
Number Of Male Beneficiaries |
210 |
Number Of Non Hispanic White Beneficiaries |
509 |
Number Of Black or African American Beneficiaries |
|
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 |
428 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
96 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5388 |