National Provider Identifier [NPI]: |
1609826973 |
Last Name Of The Provider |
DURAIRAJ |
First Name Of The Provider |
AZHIL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
625 S FAIR OAKS AVE |
Street Address 2 Of The Provider |
SUITE 215 |
City Of The Provider |
PASADENA |
Zip Code Of The Provider |
911052615 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
3117 |
Number Of Medicare Beneficiaries |
1508 |
Total Submitted Charge Amount |
999813 |
Total Medicare Allowed Amount |
335426.81 |
Total Medicare Payment Amount |
254084.52 |
Total Medicare Standardized Payment Amount |
233721.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
3117 |
Number Of Medicare Beneficiaries With Medical Services |
1508 |
Total Medical Submitted Charge Amount |
999813 |
Total Medical Medicare Allowed Amount |
335426.81 |
Total Medical Medicare Payment Amount |
254084.52 |
Total Medical Medicare Standardized Payment Amount |
233721.08 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
144 |
Number Of Beneficiaries Age 65 to 74 |
511 |
Number Of Beneficiaries Age 75 to 84 |
512 |
Number Of Beneficiaries Age Greater 84 |
341 |
Number Of Female Beneficiaries |
821 |
Number Of Male Beneficiaries |
687 |
Number Of Non Hispanic White Beneficiaries |
930 |
Number Of Black or African American Beneficiaries |
138 |
Number Of AsianPacific Islander Beneficiaries |
147 |
Number Of Hispanic Beneficiaries |
254 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
39 |
Number Of Beneficiaries With Medicare Only Entitlement |
1031 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
477 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9985 |