National Provider Identifier [NPI]: |
1619969482 |
Last Name Of The Provider |
KARAM |
First Name Of The Provider |
JYOTHEEN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1617 WILLIAMS DR |
Street Address 2 Of The Provider |
STE. 200 |
City Of The Provider |
MURFREESBORO |
Zip Code Of The Provider |
371293183 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
10463 |
Number Of Medicare Beneficiaries |
993 |
Total Submitted Charge Amount |
1876519.34 |
Total Medicare Allowed Amount |
596408.62 |
Total Medicare Payment Amount |
457281.45 |
Total Medicare Standardized Payment Amount |
498893.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
5590 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
24350 |
Total Drug Medicare AllowedAmount |
9318.31 |
Total Drug Medicare PaymentAmount |
7305.59 |
Total Drug Medicare Standardized Payment Amount |
7305.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
4873 |
Number Of Medicare Beneficiaries With Medical Services |
993 |
Total Medical Submitted Charge Amount |
1852169.34 |
Total Medical Medicare Allowed Amount |
587090.31 |
Total Medical Medicare Payment Amount |
449975.86 |
Total Medical Medicare Standardized Payment Amount |
491587.83 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
309 |
Number Of Beneficiaries Age 65 to 74 |
317 |
Number Of Beneficiaries Age 75 to 84 |
263 |
Number Of Beneficiaries Age Greater 84 |
104 |
Number Of Female Beneficiaries |
463 |
Number Of Male Beneficiaries |
530 |
Number Of Non Hispanic White Beneficiaries |
740 |
Number Of Black or African American Beneficiaries |
212 |
Number Of AsianPacific Islander Beneficiaries |
20 |
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 |
683 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
310 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
56 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
4.1834 |