National Provider Identifier [NPI]: |
1619908597 |
Last Name Of The Provider |
NARULA |
First Name Of The Provider |
GURPREET |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2503 JACKSBORO PIKE |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSBORO |
Zip Code Of The Provider |
377574847 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
8383 |
Number Of Medicare Beneficiaries |
458 |
Total Submitted Charge Amount |
590445 |
Total Medicare Allowed Amount |
280188.69 |
Total Medicare Payment Amount |
216696.8 |
Total Medicare Standardized Payment Amount |
233067.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
2375 |
Number Of Medicare Beneficiaries With Drug Services |
289 |
Total Drug Submitted ChargeAmount |
115225 |
Total Drug Medicare AllowedAmount |
4762.9 |
Total Drug Medicare PaymentAmount |
3841.63 |
Total Drug Medicare Standardized Payment Amount |
3841.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
6008 |
Number Of Medicare Beneficiaries With Medical Services |
458 |
Total Medical Submitted Charge Amount |
475220 |
Total Medical Medicare Allowed Amount |
275425.79 |
Total Medical Medicare Payment Amount |
212855.17 |
Total Medical Medicare Standardized Payment Amount |
229225.83 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
194 |
Number Of Beneficiaries Age 65 to 74 |
144 |
Number Of Beneficiaries Age 75 to 84 |
96 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
275 |
Number Of Male Beneficiaries |
183 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
210 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
248 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
39 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
46 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5209 |