National Provider Identifier [NPI]: |
1396725487 |
Last Name Of The Provider |
BABU |
First Name Of The Provider |
KRISHNAN |
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 |
100 WASON AVE |
Street Address 2 Of The Provider |
SIUTE 200 |
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
011071381 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
16814 |
Number Of Medicare Beneficiaries |
955 |
Total Submitted Charge Amount |
890886.53 |
Total Medicare Allowed Amount |
435471.12 |
Total Medicare Payment Amount |
334908.26 |
Total Medicare Standardized Payment Amount |
329704.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
11100 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
49100 |
Total Drug Medicare AllowedAmount |
24317.64 |
Total Drug Medicare PaymentAmount |
18918.98 |
Total Drug Medicare Standardized Payment Amount |
18918.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
5714 |
Number Of Medicare Beneficiaries With Medical Services |
955 |
Total Medical Submitted Charge Amount |
841786.53 |
Total Medical Medicare Allowed Amount |
411153.48 |
Total Medical Medicare Payment Amount |
315989.28 |
Total Medical Medicare Standardized Payment Amount |
310785.87 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
197 |
Number Of Beneficiaries Age 65 to 74 |
307 |
Number Of Beneficiaries Age 75 to 84 |
263 |
Number Of Beneficiaries Age Greater 84 |
188 |
Number Of Female Beneficiaries |
468 |
Number Of Male Beneficiaries |
487 |
Number Of Non Hispanic White Beneficiaries |
721 |
Number Of Black or African American Beneficiaries |
107 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
101 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
549 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
406 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
3.0467 |