National Provider Identifier [NPI]: |
1871607911 |
Last Name Of The Provider |
KATKURI |
First Name Of The Provider |
RAJANI |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4327 BARNETT RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WICHITA FALLS |
Zip Code Of The Provider |
763102303 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
1248 |
Number Of Medicare Beneficiaries |
190 |
Total Submitted Charge Amount |
302074.16 |
Total Medicare Allowed Amount |
110955.86 |
Total Medicare Payment Amount |
83664.09 |
Total Medicare Standardized Payment Amount |
88985.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
27 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
1621.57 |
Total Drug Medicare AllowedAmount |
606.65 |
Total Drug Medicare PaymentAmount |
592.68 |
Total Drug Medicare Standardized Payment Amount |
592.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
1221 |
Number Of Medicare Beneficiaries With Medical Services |
190 |
Total Medical Submitted Charge Amount |
300452.59 |
Total Medical Medicare Allowed Amount |
110349.21 |
Total Medical Medicare Payment Amount |
83071.41 |
Total Medical Medicare Standardized Payment Amount |
88392.35 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
72 |
Number Of Beneficiaries Age 65 to 74 |
60 |
Number Of Beneficiaries Age 75 to 84 |
39 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
135 |
Number Of Male Beneficiaries |
55 |
Number Of Non Hispanic White Beneficiaries |
165 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
116 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
49 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.7523 |