National Provider Identifier [NPI]: |
1003011214 |
Last Name Of The Provider |
BAJAJ |
First Name Of The Provider |
BHAVANDEEP |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3345 WILKENS AVENUE |
Street Address 2 Of The Provider |
SUITE L10 |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212295213 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
2018 |
Number Of Medicare Beneficiaries |
418 |
Total Submitted Charge Amount |
221868 |
Total Medicare Allowed Amount |
167238.14 |
Total Medicare Payment Amount |
125159.03 |
Total Medicare Standardized Payment Amount |
119608.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
27 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
2720 |
Total Drug Medicare AllowedAmount |
2627.07 |
Total Drug Medicare PaymentAmount |
2567.11 |
Total Drug Medicare Standardized Payment Amount |
2567.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
1991 |
Number Of Medicare Beneficiaries With Medical Services |
418 |
Total Medical Submitted Charge Amount |
219148 |
Total Medical Medicare Allowed Amount |
164611.07 |
Total Medical Medicare Payment Amount |
122591.92 |
Total Medical Medicare Standardized Payment Amount |
117041.52 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
114 |
Number Of Beneficiaries Age 65 to 74 |
137 |
Number Of Beneficiaries Age 75 to 84 |
94 |
Number Of Beneficiaries Age Greater 84 |
73 |
Number Of Female Beneficiaries |
248 |
Number Of Male Beneficiaries |
170 |
Number Of Non Hispanic White Beneficiaries |
189 |
Number Of Black or African American Beneficiaries |
218 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
253 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
165 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9301 |