National Provider Identifier [NPI]: |
1548295264 |
Last Name Of The Provider |
KADAKIA |
First Name Of The Provider |
RAJAN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11920 ASTORIA BLVD |
Street Address 2 Of The Provider |
SUITE 340 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770896097 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
10262 |
Number Of Medicare Beneficiaries |
846 |
Total Submitted Charge Amount |
973198 |
Total Medicare Allowed Amount |
525481.25 |
Total Medicare Payment Amount |
396127.78 |
Total Medicare Standardized Payment Amount |
402233.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
5576 |
Number Of Medicare Beneficiaries With Drug Services |
83 |
Total Drug Submitted ChargeAmount |
33744 |
Total Drug Medicare AllowedAmount |
15436.5 |
Total Drug Medicare PaymentAmount |
11827.83 |
Total Drug Medicare Standardized Payment Amount |
11827.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
4686 |
Number Of Medicare Beneficiaries With Medical Services |
846 |
Total Medical Submitted Charge Amount |
939454 |
Total Medical Medicare Allowed Amount |
510044.75 |
Total Medical Medicare Payment Amount |
384299.95 |
Total Medical Medicare Standardized Payment Amount |
390405.86 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
301 |
Number Of Beneficiaries Age 75 to 84 |
274 |
Number Of Beneficiaries Age Greater 84 |
176 |
Number Of Female Beneficiaries |
534 |
Number Of Male Beneficiaries |
312 |
Number Of Non Hispanic White Beneficiaries |
560 |
Number Of Black or African American Beneficiaries |
118 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
137 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
659 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
187 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.1161 |