National Provider Identifier [NPI]: |
1598099376 |
Last Name Of The Provider |
SRINIVASAN |
First Name Of The Provider |
JANARDHAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2232 WILBORN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOUTH BOSTON |
Zip Code Of The Provider |
245921662 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
4683 |
Number Of Medicare Beneficiaries |
1810 |
Total Submitted Charge Amount |
804622.6 |
Total Medicare Allowed Amount |
354687.31 |
Total Medicare Payment Amount |
269950.26 |
Total Medicare Standardized Payment Amount |
274542.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
70 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
1267 |
Total Drug Medicare AllowedAmount |
1069.17 |
Total Drug Medicare PaymentAmount |
1029.73 |
Total Drug Medicare Standardized Payment Amount |
1029.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
4613 |
Number Of Medicare Beneficiaries With Medical Services |
1810 |
Total Medical Submitted Charge Amount |
803355.6 |
Total Medical Medicare Allowed Amount |
353618.14 |
Total Medical Medicare Payment Amount |
268920.53 |
Total Medical Medicare Standardized Payment Amount |
273512.96 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
343 |
Number Of Beneficiaries Age 65 to 74 |
645 |
Number Of Beneficiaries Age 75 to 84 |
529 |
Number Of Beneficiaries Age Greater 84 |
293 |
Number Of Female Beneficiaries |
1051 |
Number Of Male Beneficiaries |
759 |
Number Of Non Hispanic White Beneficiaries |
1183 |
Number Of Black or African American Beneficiaries |
596 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1209 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
601 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6373 |