National Provider Identifier [NPI]: |
1871568881 |
Last Name Of The Provider |
MAHAJAN |
First Name Of The Provider |
DARSHAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
673 E RIVER ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ELYRIA |
Zip Code Of The Provider |
440355935 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
3977 |
Number Of Medicare Beneficiaries |
1273 |
Total Submitted Charge Amount |
464195 |
Total Medicare Allowed Amount |
360320.76 |
Total Medicare Payment Amount |
261421.55 |
Total Medicare Standardized Payment Amount |
265579.12 |
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 |
31 |
Number Of Medical Services |
3977 |
Number Of Medicare Beneficiaries With Medical Services |
1273 |
Total Medical Submitted Charge Amount |
464195 |
Total Medical Medicare Allowed Amount |
360320.76 |
Total Medical Medicare Payment Amount |
261421.55 |
Total Medical Medicare Standardized Payment Amount |
265579.12 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
321 |
Number Of Beneficiaries Age 65 to 74 |
405 |
Number Of Beneficiaries Age 75 to 84 |
366 |
Number Of Beneficiaries Age Greater 84 |
181 |
Number Of Female Beneficiaries |
727 |
Number Of Male Beneficiaries |
546 |
Number Of Non Hispanic White Beneficiaries |
1066 |
Number Of Black or African American Beneficiaries |
122 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
55 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
886 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
387 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
33 |
Average HCC Risk Score Of Beneficiaries |
1.7237 |