National Provider Identifier [NPI]: |
1245327048 |
Last Name Of The Provider |
RADHAKRISHNAN |
First Name Of The Provider |
JAYARAM |
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 |
121 DEKALB AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BROOKLYN |
Zip Code Of The Provider |
112015425 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
6496 |
Number Of Medicare Beneficiaries |
1296 |
Total Submitted Charge Amount |
1581403 |
Total Medicare Allowed Amount |
723321.01 |
Total Medicare Payment Amount |
563924.17 |
Total Medicare Standardized Payment Amount |
534176.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2286 |
Number Of Medicare Beneficiaries With Drug Services |
443 |
Total Drug Submitted ChargeAmount |
115260 |
Total Drug Medicare AllowedAmount |
99088.4 |
Total Drug Medicare PaymentAmount |
77317.18 |
Total Drug Medicare Standardized Payment Amount |
77317.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
4210 |
Number Of Medicare Beneficiaries With Medical Services |
1296 |
Total Medical Submitted Charge Amount |
1466143 |
Total Medical Medicare Allowed Amount |
624232.61 |
Total Medical Medicare Payment Amount |
486606.99 |
Total Medical Medicare Standardized Payment Amount |
456859.73 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
221 |
Number Of Beneficiaries Age 65 to 74 |
359 |
Number Of Beneficiaries Age 75 to 84 |
374 |
Number Of Beneficiaries Age Greater 84 |
342 |
Number Of Female Beneficiaries |
743 |
Number Of Male Beneficiaries |
553 |
Number Of Non Hispanic White Beneficiaries |
1105 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
99 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
794 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
502 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7501 |