National Provider Identifier [NPI]: |
1326149931 |
Last Name Of The Provider |
HARJAI |
First Name Of The Provider |
JOGESH |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
504 MEDICAL CENTER BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CONROE |
Zip Code Of The Provider |
773042808 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
1162 |
Number Of Medicare Beneficiaries |
651 |
Total Submitted Charge Amount |
549771 |
Total Medicare Allowed Amount |
120743.22 |
Total Medicare Payment Amount |
90072.44 |
Total Medicare Standardized Payment Amount |
93478.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
46 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
1045.35 |
Total Drug Medicare AllowedAmount |
133.56 |
Total Drug Medicare PaymentAmount |
104.72 |
Total Drug Medicare Standardized Payment Amount |
104.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
1116 |
Number Of Medicare Beneficiaries With Medical Services |
651 |
Total Medical Submitted Charge Amount |
548725.65 |
Total Medical Medicare Allowed Amount |
120609.66 |
Total Medical Medicare Payment Amount |
89967.72 |
Total Medical Medicare Standardized Payment Amount |
93373.78 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
115 |
Number Of Beneficiaries Age 65 to 74 |
242 |
Number Of Beneficiaries Age 75 to 84 |
180 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
374 |
Number Of Male Beneficiaries |
277 |
Number Of Non Hispanic White Beneficiaries |
547 |
Number Of Black or African American Beneficiaries |
54 |
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 |
541 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
110 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.0599 |