National Provider Identifier [NPI]: |
1790780278 |
Last Name Of The Provider |
ORIJA |
First Name Of The Provider |
ISRAEL |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
315 BOULEVARD NE |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303121220 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
970 |
Number Of Medicare Beneficiaries |
243 |
Total Submitted Charge Amount |
161499 |
Total Medicare Allowed Amount |
67124.61 |
Total Medicare Payment Amount |
50114.37 |
Total Medicare Standardized Payment Amount |
50027.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
207 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
10940 |
Total Drug Medicare AllowedAmount |
3574.19 |
Total Drug Medicare PaymentAmount |
2843.02 |
Total Drug Medicare Standardized Payment Amount |
2843.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
763 |
Number Of Medicare Beneficiaries With Medical Services |
243 |
Total Medical Submitted Charge Amount |
150559 |
Total Medical Medicare Allowed Amount |
63550.42 |
Total Medical Medicare Payment Amount |
47271.35 |
Total Medical Medicare Standardized Payment Amount |
47184.04 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
85 |
Number Of Beneficiaries Age 75 to 84 |
55 |
Number Of Beneficiaries Age Greater 84 |
26 |
Number Of Female Beneficiaries |
142 |
Number Of Male Beneficiaries |
101 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
181 |
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 |
123 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
120 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
72 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
22 |
Average HCC Risk Score Of Beneficiaries |
2.2857 |