National Provider Identifier [NPI]: |
1962611210 |
Last Name Of The Provider |
BADALI |
First Name Of The Provider |
KARI |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1601 SAINT FRANCIS AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
SHAKOPEE |
Zip Code Of The Provider |
553793383 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
2245 |
Number Of Medicare Beneficiaries |
166 |
Total Submitted Charge Amount |
125594 |
Total Medicare Allowed Amount |
46607.28 |
Total Medicare Payment Amount |
34351.73 |
Total Medicare Standardized Payment Amount |
40614.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
1112 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
9432 |
Total Drug Medicare AllowedAmount |
3902.84 |
Total Drug Medicare PaymentAmount |
3362.38 |
Total Drug Medicare Standardized Payment Amount |
3362.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
1133 |
Number Of Medicare Beneficiaries With Medical Services |
166 |
Total Medical Submitted Charge Amount |
116162 |
Total Medical Medicare Allowed Amount |
42704.44 |
Total Medical Medicare Payment Amount |
30989.35 |
Total Medical Medicare Standardized Payment Amount |
37252.44 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
49 |
Number Of Beneficiaries Age 75 to 84 |
32 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
112 |
Number Of Male Beneficiaries |
54 |
Number Of Non Hispanic White Beneficiaries |
150 |
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 |
113 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
53 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2646 |