| National Provider Identifier [NPI]: | 1376563635 |
| Last Name Of The Provider | KARASICK |
| First Name Of The Provider | DAVID |
| 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 | 111 S 11TH ST |
| Street Address 2 Of The Provider | SUITE 3390 |
| City Of The Provider | PHILADELPHIA |
| Zip Code Of The Provider | 191074824 |
| State Code Of The Provider | PA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 75 |
| Number Of Services | 9421 |
| Number Of Medicare Beneficiaries | 5197 |
| Total Submitted Charge Amount | 823178.6 |
| Total Medicare Allowed Amount | 138381.47 |
| Total Medicare Payment Amount | 98285.01 |
| Total Medicare Standardized Payment Amount | 92807.39 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 75 |
| Number Of Medical Services | 9421 |
| Number Of Medicare Beneficiaries With Medical Services | 5197 |
| Total Medical Submitted Charge Amount | 823178.6 |
| Total Medical Medicare Allowed Amount | 138381.47 |
| Total Medical Medicare Payment Amount | 98285.01 |
| Total Medical Medicare Standardized Payment Amount | 92807.39 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1172 |
| Number Of Beneficiaries Age 65 to 74 | 2208 |
| Number Of Beneficiaries Age 75 to 84 | 1273 |
| Number Of Beneficiaries Age Greater 84 | 544 |
| Number Of Female Beneficiaries | 3051 |
| Number Of Male Beneficiaries | 2146 |
| Number Of Non Hispanic White Beneficiaries | 3589 |
| Number Of Black or African American Beneficiaries | 1129 |
| Number Of AsianPacific Islander Beneficiaries | 288 |
| Number Of Hispanic Beneficiaries | 115 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 76 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3723 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1474 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 64 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.572 |