National Provider Identifier [NPI]: |
1811928799 |
Last Name Of The Provider |
NARULA |
First Name Of The Provider |
HARJEET |
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 |
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 |
68 |
Number Of Services |
5874 |
Number Of Medicare Beneficiaries |
735 |
Total Submitted Charge Amount |
527405 |
Total Medicare Allowed Amount |
327071.56 |
Total Medicare Payment Amount |
246816.02 |
Total Medicare Standardized Payment Amount |
261782.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
669 |
Number Of Medicare Beneficiaries With Drug Services |
121 |
Total Drug Submitted ChargeAmount |
31595 |
Total Drug Medicare AllowedAmount |
1493.56 |
Total Drug Medicare PaymentAmount |
1188.83 |
Total Drug Medicare Standardized Payment Amount |
1188.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
5205 |
Number Of Medicare Beneficiaries With Medical Services |
735 |
Total Medical Submitted Charge Amount |
495810 |
Total Medical Medicare Allowed Amount |
325578 |
Total Medical Medicare Payment Amount |
245627.19 |
Total Medical Medicare Standardized Payment Amount |
260594.11 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
208 |
Number Of Beneficiaries Age 65 to 74 |
234 |
Number Of Beneficiaries Age 75 to 84 |
184 |
Number Of Beneficiaries Age Greater 84 |
109 |
Number Of Female Beneficiaries |
437 |
Number Of Male Beneficiaries |
298 |
Number Of Non Hispanic White Beneficiaries |
720 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
317 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
418 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
24 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
53 |
Percent Of With Depression |
54 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
22 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9109 |