National Provider Identifier [NPI]: |
1699883595 |
Last Name Of The Provider |
BAJAJ |
First Name Of The Provider |
MADHURI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8940 N. WOOD SAGE ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PEORIA |
Zip Code Of The Provider |
61615 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
204 |
Number Of Services |
190500 |
Number Of Medicare Beneficiaries |
1258 |
Total Submitted Charge Amount |
9045896 |
Total Medicare Allowed Amount |
2853542.8 |
Total Medicare Payment Amount |
2228454.2 |
Total Medicare Standardized Payment Amount |
2237068.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
94 |
Number Of Drug Services |
180263 |
Number Of Medicare Beneficiaries With Drug Services |
625 |
Total Drug Submitted ChargeAmount |
6704165 |
Total Drug Medicare AllowedAmount |
2277347.12 |
Total Drug Medicare PaymentAmount |
1776954.2 |
Total Drug Medicare Standardized Payment Amount |
1776954.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
10237 |
Number Of Medicare Beneficiaries With Medical Services |
1256 |
Total Medical Submitted Charge Amount |
2341731 |
Total Medical Medicare Allowed Amount |
576195.68 |
Total Medical Medicare Payment Amount |
451500 |
Total Medical Medicare Standardized Payment Amount |
460114.13 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
128 |
Number Of Beneficiaries Age 65 to 74 |
565 |
Number Of Beneficiaries Age 75 to 84 |
408 |
Number Of Beneficiaries Age Greater 84 |
157 |
Number Of Female Beneficiaries |
701 |
Number Of Male Beneficiaries |
557 |
Number Of Non Hispanic White Beneficiaries |
1160 |
Number Of Black or African American Beneficiaries |
75 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1095 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
163 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
53 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.0327 |