National Provider Identifier [NPI]: |
1679559272 |
Last Name Of The Provider |
MAHARAJH |
First Name Of The Provider |
BALKISSOON |
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 |
1015 FRANKLIN ST |
Street Address 2 Of The Provider |
LEVEL A |
City Of The Provider |
JOHNSTOWN |
Zip Code Of The Provider |
15905 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
2776 |
Number Of Medicare Beneficiaries |
551 |
Total Submitted Charge Amount |
230461 |
Total Medicare Allowed Amount |
194328.98 |
Total Medicare Payment Amount |
147310.37 |
Total Medicare Standardized Payment Amount |
143448.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
46 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
890 |
Total Drug Medicare AllowedAmount |
867.78 |
Total Drug Medicare PaymentAmount |
850.4 |
Total Drug Medicare Standardized Payment Amount |
850.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
2730 |
Number Of Medicare Beneficiaries With Medical Services |
551 |
Total Medical Submitted Charge Amount |
229571 |
Total Medical Medicare Allowed Amount |
193461.2 |
Total Medical Medicare Payment Amount |
146459.97 |
Total Medical Medicare Standardized Payment Amount |
142598.09 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
72 |
Number Of Beneficiaries Age 65 to 74 |
109 |
Number Of Beneficiaries Age 75 to 84 |
147 |
Number Of Beneficiaries Age Greater 84 |
223 |
Number Of Female Beneficiaries |
340 |
Number Of Male Beneficiaries |
211 |
Number Of Non Hispanic White Beneficiaries |
538 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
0 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
347 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
204 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
42 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
55 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.2952 |