National Provider Identifier [NPI]: |
1992805519 |
Last Name Of The Provider |
KRAUSE |
First Name Of The Provider |
CRAIG |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
34 S RAILROAD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
TAMAQUA |
Zip Code Of The Provider |
182521927 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
3308 |
Number Of Medicare Beneficiaries |
752 |
Total Submitted Charge Amount |
358063 |
Total Medicare Allowed Amount |
237192.57 |
Total Medicare Payment Amount |
178669.49 |
Total Medicare Standardized Payment Amount |
188238.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
467 |
Number Of Medicare Beneficiaries With Drug Services |
384 |
Total Drug Submitted ChargeAmount |
34453 |
Total Drug Medicare AllowedAmount |
18673.2 |
Total Drug Medicare PaymentAmount |
18229.93 |
Total Drug Medicare Standardized Payment Amount |
18229.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
2841 |
Number Of Medicare Beneficiaries With Medical Services |
752 |
Total Medical Submitted Charge Amount |
323610 |
Total Medical Medicare Allowed Amount |
218519.37 |
Total Medical Medicare Payment Amount |
160439.56 |
Total Medical Medicare Standardized Payment Amount |
170008.99 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
144 |
Number Of Beneficiaries Age 65 to 74 |
271 |
Number Of Beneficiaries Age 75 to 84 |
204 |
Number Of Beneficiaries Age Greater 84 |
133 |
Number Of Female Beneficiaries |
400 |
Number Of Male Beneficiaries |
352 |
Number Of Non Hispanic White Beneficiaries |
737 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
621 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.108 |