Medicare Facts for Dr. Karen S. Scoles, MD


National Provider Identifier [NPI]: 1205907383
Last Name Of The Provider SCOLES
First Name Of The Provider KAREN
Middle Initial Of The Provider S
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1553 CHESTER PIKE
Street Address 2 Of The Provider
City Of The Provider CRUM LYNNE
Zip Code Of The Provider 190221022
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 24
Number Of Services 335
Number Of Medicare Beneficiaries 86
Total Submitted Charge Amount 35977
Total Medicare Allowed Amount 25548.1
Total Medicare Payment Amount 18564.95
Total Medicare Standardized Payment Amount 17746.35
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 49
Number Of Medicare Beneficiaries With Drug Services 40
Total Drug Submitted ChargeAmount 3945
Total Drug Medicare AllowedAmount 2880.55
Total Drug Medicare PaymentAmount 2822.84
Total Drug Medicare Standardized Payment Amount 2822.84
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 20
Number Of Medical Services 286
Number Of Medicare Beneficiaries With Medical Services 86
Total Medical Submitted Charge Amount 32032
Total Medical Medicare Allowed Amount 22667.55
Total Medical Medicare Payment Amount 15742.11
Total Medical Medicare Standardized Payment Amount 14923.51
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 43
Number Of Beneficiaries Age 75 to 84 23
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 68
Number Of Male Beneficiaries 18
Number Of Non Hispanic White Beneficiaries 63
Number Of Black or African American Beneficiaries
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 72
Number Of Beneficiaries With Medicare Medicaid Entitlement 14
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma
Percent Of With Cancer 16
Percent Of With Heart Failure 19
Percent Of With Chronic Kidney Disease 26
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 21
Percent Of With Diabetes 22
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 73
Percent Of With Ischemic Heart Disease 24
Percent Of With Osteoporosis 20
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.1656

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