National Provider Identifier [NPI]: |
1407830904 |
Last Name Of The Provider |
KARATELA |
First Name Of The Provider |
RIZWAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
110 JOHN F KENNEDY DR |
Street Address 2 Of The Provider |
SUITE 110 |
City Of The Provider |
ATLANTIS |
Zip Code Of The Provider |
334621146 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
4858 |
Number Of Medicare Beneficiaries |
1711 |
Total Submitted Charge Amount |
965926.98 |
Total Medicare Allowed Amount |
409448.6 |
Total Medicare Payment Amount |
309692.75 |
Total Medicare Standardized Payment Amount |
300472.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
86 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
29498 |
Total Drug Medicare AllowedAmount |
4481.24 |
Total Drug Medicare PaymentAmount |
3519.23 |
Total Drug Medicare Standardized Payment Amount |
3519.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
4772 |
Number Of Medicare Beneficiaries With Medical Services |
1711 |
Total Medical Submitted Charge Amount |
936428.98 |
Total Medical Medicare Allowed Amount |
404967.36 |
Total Medical Medicare Payment Amount |
306173.52 |
Total Medical Medicare Standardized Payment Amount |
296953.21 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
171 |
Number Of Beneficiaries Age 65 to 74 |
413 |
Number Of Beneficiaries Age 75 to 84 |
576 |
Number Of Beneficiaries Age Greater 84 |
551 |
Number Of Female Beneficiaries |
852 |
Number Of Male Beneficiaries |
859 |
Number Of Non Hispanic White Beneficiaries |
1427 |
Number Of Black or African American Beneficiaries |
118 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
127 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1292 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
419 |
Percent Of With Atrial Fibrillation |
40 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.1452 |