National Provider Identifier [NPI]: |
1215907282 |
Last Name Of The Provider |
CARANO |
First Name Of The Provider |
KRISTIN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 SE HOSPITAL AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
STUART |
Zip Code Of The Provider |
349942338 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
186 |
Number Of Services |
10767 |
Number Of Medicare Beneficiaries |
5188 |
Total Submitted Charge Amount |
746327 |
Total Medicare Allowed Amount |
275724.23 |
Total Medicare Payment Amount |
209470.48 |
Total Medicare Standardized Payment Amount |
202284.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1650 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
4800 |
Total Drug Medicare AllowedAmount |
291.86 |
Total Drug Medicare PaymentAmount |
228.76 |
Total Drug Medicare Standardized Payment Amount |
228.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
185 |
Number Of Medical Services |
9117 |
Number Of Medicare Beneficiaries With Medical Services |
5188 |
Total Medical Submitted Charge Amount |
741527 |
Total Medical Medicare Allowed Amount |
275432.37 |
Total Medical Medicare Payment Amount |
209241.72 |
Total Medical Medicare Standardized Payment Amount |
202056.1 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
502 |
Number Of Beneficiaries Age 65 to 74 |
1672 |
Number Of Beneficiaries Age 75 to 84 |
1807 |
Number Of Beneficiaries Age Greater 84 |
1207 |
Number Of Female Beneficiaries |
3008 |
Number Of Male Beneficiaries |
2180 |
Number Of Non Hispanic White Beneficiaries |
4715 |
Number Of Black or African American Beneficiaries |
211 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
185 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
45 |
Number Of Beneficiaries With Medicare Only Entitlement |
4427 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
761 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6617 |