National Provider Identifier [NPI]: |
1285615583 |
Last Name Of The Provider |
NAGARAJU |
First Name Of The Provider |
PRADEEP |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3535 W 13 MILE RD |
Street Address 2 Of The Provider |
SUITE 407 |
City Of The Provider |
ROYAL OAK |
Zip Code Of The Provider |
480736770 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
132 |
Number Of Services |
5097 |
Number Of Medicare Beneficiaries |
753 |
Total Submitted Charge Amount |
811604 |
Total Medicare Allowed Amount |
356925.08 |
Total Medicare Payment Amount |
270530.73 |
Total Medicare Standardized Payment Amount |
265184.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
718 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
53380 |
Total Drug Medicare AllowedAmount |
23710.93 |
Total Drug Medicare PaymentAmount |
18583.87 |
Total Drug Medicare Standardized Payment Amount |
18583.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
125 |
Number Of Medical Services |
4379 |
Number Of Medicare Beneficiaries With Medical Services |
753 |
Total Medical Submitted Charge Amount |
758224 |
Total Medical Medicare Allowed Amount |
333214.15 |
Total Medical Medicare Payment Amount |
251946.86 |
Total Medical Medicare Standardized Payment Amount |
246600.76 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
306 |
Number Of Beneficiaries Age 75 to 84 |
275 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
330 |
Number Of Male Beneficiaries |
423 |
Number Of Non Hispanic White Beneficiaries |
661 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
690 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
63 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6065 |