Medicare Facts for Dr. Michael J. Carnathan, MD


National Provider Identifier [NPI]: 1851529093
Last Name Of The Provider CARNATHAN
First Name Of The Provider MICHAEL
Middle Initial Of The Provider J
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1122 NORTH ST
Street Address 2 Of The Provider
City Of The Provider JIM THORPE
Zip Code Of The Provider 182291717
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 34
Number Of Services 535
Number Of Medicare Beneficiaries 227
Total Submitted Charge Amount 42645
Total Medicare Allowed Amount 36384.54
Total Medicare Payment Amount 25236.12
Total Medicare Standardized Payment Amount 27462.15
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 37
Number Of Medicare Beneficiaries With Drug Services 33
Total Drug Submitted ChargeAmount 1709
Total Drug Medicare AllowedAmount 1408.69
Total Drug Medicare PaymentAmount 1337.35
Total Drug Medicare Standardized Payment Amount 1337.35
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 28
Number Of Medical Services 498
Number Of Medicare Beneficiaries With Medical Services 227
Total Medical Submitted Charge Amount 40936
Total Medical Medicare Allowed Amount 34975.85
Total Medical Medicare Payment Amount 23898.77
Total Medical Medicare Standardized Payment Amount 26124.8
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 50
Number Of Beneficiaries Age 65 to 74 97
Number Of Beneficiaries Age 75 to 84 56
Number Of Beneficiaries Age Greater 84 24
Number Of Female Beneficiaries 139
Number Of Male Beneficiaries 88
Number Of Non Hispanic White Beneficiaries 211
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 183
Number Of Beneficiaries With Medicare Medicaid Entitlement 44
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma
Percent Of With Cancer 9
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 26
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 22
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 68
Percent Of With Hypertension 74
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0828

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