Medicare Facts for Dr. Paul P. Carnes, MD


National Provider Identifier [NPI]: 1417940990
Last Name Of The Provider CARNES
First Name Of The Provider PAUL
Middle Initial Of The Provider P
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1520 SUNDAY DR
Street Address 2 Of The Provider
City Of The Provider RALEIGH
Zip Code Of The Provider 276075253
State Code Of The Provider NC
Country Code Of The Provider US
Provider Type Of The Provider Pain Management
Medicare Participation Indicator Y
Number Of HCPCS 123
Number Of Services 1875
Number Of Medicare Beneficiaries 537
Total Submitted Charge Amount 622661.05
Total Medicare Allowed Amount 187945.54
Total Medicare Payment Amount 143788.6
Total Medicare Standardized Payment Amount 140372.31
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 171
Number Of Medicare Beneficiaries With Drug Services 94
Total Drug Submitted ChargeAmount 5125
Total Drug Medicare AllowedAmount 969.26
Total Drug Medicare PaymentAmount 730.91
Total Drug Medicare Standardized Payment Amount 730.91
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 121
Number Of Medical Services 1704
Number Of Medicare Beneficiaries With Medical Services 537
Total Medical Submitted Charge Amount 617536.05
Total Medical Medicare Allowed Amount 186976.28
Total Medical Medicare Payment Amount 143057.69
Total Medical Medicare Standardized Payment Amount 139641.4
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 138
Number Of Beneficiaries Age 65 to 74 193
Number Of Beneficiaries Age 75 to 84 142
Number Of Beneficiaries Age Greater 84 64
Number Of Female Beneficiaries 294
Number Of Male Beneficiaries 243
Number Of Non Hispanic White Beneficiaries 496
Number Of Black or African American Beneficiaries 25
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 394
Number Of Beneficiaries With Medicare Medicaid Entitlement 143
Percent Of With Atrial Fibrillation 15
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 9
Percent Of With Cancer 14
Percent Of With Heart Failure 24
Percent Of With Chronic Kidney Disease 26
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 35
Percent Of With Diabetes 36
Percent Of With Hyperlipidemia 61
Percent Of With Hypertension 73
Percent Of With Ischemic Heart Disease 41
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 62
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.5926

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