National Provider Identifier [NPI]: |
1457416794 |
Last Name Of The Provider |
TALREJA |
First Name Of The Provider |
ASHOK |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9530 COSNER DR |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
FREDERICKSBURG |
Zip Code Of The Provider |
224087760 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
107 |
Number Of Services |
8712 |
Number Of Medicare Beneficiaries |
1528 |
Total Submitted Charge Amount |
1645412.14 |
Total Medicare Allowed Amount |
817641.06 |
Total Medicare Payment Amount |
616129.97 |
Total Medicare Standardized Payment Amount |
637994.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
906 |
Number Of Medicare Beneficiaries With Drug Services |
250 |
Total Drug Submitted ChargeAmount |
36891.66 |
Total Drug Medicare AllowedAmount |
34469.83 |
Total Drug Medicare PaymentAmount |
26580.11 |
Total Drug Medicare Standardized Payment Amount |
26580.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
101 |
Number Of Medical Services |
7806 |
Number Of Medicare Beneficiaries With Medical Services |
1528 |
Total Medical Submitted Charge Amount |
1608520.48 |
Total Medical Medicare Allowed Amount |
783171.23 |
Total Medical Medicare Payment Amount |
589549.86 |
Total Medical Medicare Standardized Payment Amount |
611414.68 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
118 |
Number Of Beneficiaries Age 65 to 74 |
583 |
Number Of Beneficiaries Age 75 to 84 |
531 |
Number Of Beneficiaries Age Greater 84 |
296 |
Number Of Female Beneficiaries |
696 |
Number Of Male Beneficiaries |
832 |
Number Of Non Hispanic White Beneficiaries |
1308 |
Number Of Black or African American Beneficiaries |
179 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1350 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
178 |
Percent Of With Atrial Fibrillation |
41 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6243 |