National Provider Identifier [NPI]: |
1316046006 |
Last Name Of The Provider |
THAKUR |
First Name Of The Provider |
RAJIV |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8305 KNIGHT RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770543905 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
263 |
Number Of Services |
14497 |
Number Of Medicare Beneficiaries |
5049 |
Total Submitted Charge Amount |
5848547.61 |
Total Medicare Allowed Amount |
1014929.84 |
Total Medicare Payment Amount |
792334.17 |
Total Medicare Standardized Payment Amount |
800321.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2626 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
12735.36 |
Total Drug Medicare AllowedAmount |
956.67 |
Total Drug Medicare PaymentAmount |
725.61 |
Total Drug Medicare Standardized Payment Amount |
725.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
259 |
Number Of Medical Services |
11871 |
Number Of Medicare Beneficiaries With Medical Services |
5049 |
Total Medical Submitted Charge Amount |
5835812.25 |
Total Medical Medicare Allowed Amount |
1013973.17 |
Total Medical Medicare Payment Amount |
791608.56 |
Total Medical Medicare Standardized Payment Amount |
799595.73 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
1031 |
Number Of Beneficiaries Age 65 to 74 |
1329 |
Number Of Beneficiaries Age 75 to 84 |
1430 |
Number Of Beneficiaries Age Greater 84 |
1259 |
Number Of Female Beneficiaries |
2833 |
Number Of Male Beneficiaries |
2216 |
Number Of Non Hispanic White Beneficiaries |
2917 |
Number Of Black or African American Beneficiaries |
1316 |
Number Of AsianPacific Islander Beneficiaries |
167 |
Number Of Hispanic Beneficiaries |
609 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2697 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2352 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
52 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
68 |
Percent Of With Chronic Kidney Disease |
65 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
49 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
19 |
Percent Of With Stroke |
26 |
Average HCC Risk Score Of Beneficiaries |
3.423 |