National Provider Identifier [NPI]: |
1689632135 |
Last Name Of The Provider |
GERKEN |
First Name Of The Provider |
KAREN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6930 TREELINE DR |
Street Address 2 Of The Provider |
STE G |
City Of The Provider |
BRECKSVILLE |
Zip Code Of The Provider |
44141 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
4829 |
Number Of Medicare Beneficiaries |
2207 |
Total Submitted Charge Amount |
613223.78 |
Total Medicare Allowed Amount |
174779.83 |
Total Medicare Payment Amount |
135290.05 |
Total Medicare Standardized Payment Amount |
105777.05 |
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 |
23 |
Number Of Medical Services |
4829 |
Number Of Medicare Beneficiaries With Medical Services |
2207 |
Total Medical Submitted Charge Amount |
613223.78 |
Total Medical Medicare Allowed Amount |
174779.83 |
Total Medical Medicare Payment Amount |
135290.05 |
Total Medical Medicare Standardized Payment Amount |
105777.05 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
134 |
Number Of Beneficiaries Age 65 to 74 |
937 |
Number Of Beneficiaries Age 75 to 84 |
776 |
Number Of Beneficiaries Age Greater 84 |
360 |
Number Of Female Beneficiaries |
1114 |
Number Of Male Beneficiaries |
1093 |
Number Of Non Hispanic White Beneficiaries |
2115 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
40 |
Number Of Beneficiaries With Medicare Only Entitlement |
2065 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
142 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1895 |