National Provider Identifier [NPI]: |
1619110764 |
Last Name Of The Provider |
KALORE |
First Name Of The Provider |
NIRAJ |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1250 E MARSHALL ST |
Street Address 2 Of The Provider |
ORTHOPAEDIC SURGERY |
City Of The Provider |
RICHMOND |
Zip Code Of The Provider |
232985051 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
141 |
Number Of Services |
1503 |
Number Of Medicare Beneficiaries |
441 |
Total Submitted Charge Amount |
408920.06 |
Total Medicare Allowed Amount |
160261.83 |
Total Medicare Payment Amount |
118551.63 |
Total Medicare Standardized Payment Amount |
127571.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
106 |
Number Of Medicare Beneficiaries With Drug Services |
90 |
Total Drug Submitted ChargeAmount |
1116 |
Total Drug Medicare AllowedAmount |
328.65 |
Total Drug Medicare PaymentAmount |
252.14 |
Total Drug Medicare Standardized Payment Amount |
252.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
139 |
Number Of Medical Services |
1397 |
Number Of Medicare Beneficiaries With Medical Services |
441 |
Total Medical Submitted Charge Amount |
407804.06 |
Total Medical Medicare Allowed Amount |
159933.18 |
Total Medical Medicare Payment Amount |
118299.49 |
Total Medical Medicare Standardized Payment Amount |
127319.31 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
139 |
Number Of Beneficiaries Age 65 to 74 |
160 |
Number Of Beneficiaries Age 75 to 84 |
104 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
290 |
Number Of Male Beneficiaries |
151 |
Number Of Non Hispanic White Beneficiaries |
283 |
Number Of Black or African American Beneficiaries |
|
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 |
287 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
154 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3815 |