National Provider Identifier [NPI]: |
1174583751 |
Last Name Of The Provider |
IYER |
First Name Of The Provider |
NIRANJAN |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
501 ORCHARD ST |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
WEBSTER |
Zip Code Of The Provider |
775984145 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
6193 |
Number Of Medicare Beneficiaries |
931 |
Total Submitted Charge Amount |
823521 |
Total Medicare Allowed Amount |
535274.63 |
Total Medicare Payment Amount |
406544.75 |
Total Medicare Standardized Payment Amount |
356917.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1262 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
36491 |
Total Drug Medicare AllowedAmount |
32318.02 |
Total Drug Medicare PaymentAmount |
25372.98 |
Total Drug Medicare Standardized Payment Amount |
25372.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
4931 |
Number Of Medicare Beneficiaries With Medical Services |
931 |
Total Medical Submitted Charge Amount |
787030 |
Total Medical Medicare Allowed Amount |
502956.61 |
Total Medical Medicare Payment Amount |
381171.77 |
Total Medical Medicare Standardized Payment Amount |
331544.76 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
365 |
Number Of Beneficiaries Age 75 to 84 |
298 |
Number Of Beneficiaries Age Greater 84 |
159 |
Number Of Female Beneficiaries |
505 |
Number Of Male Beneficiaries |
426 |
Number Of Non Hispanic White Beneficiaries |
768 |
Number Of Black or African American Beneficiaries |
75 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
68 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
764 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
167 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
24 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
56 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
50 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.4502 |