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 |