National Provider Identifier [NPI]: |
1740283027 |
Last Name Of The Provider |
MUKHERJEE |
First Name Of The Provider |
RATNAKAR |
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 |
7845 OAKWOOD RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
GLEN BURNIE |
Zip Code Of The Provider |
210614280 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
2207 |
Number Of Medicare Beneficiaries |
990 |
Total Submitted Charge Amount |
472103.17 |
Total Medicare Allowed Amount |
319228.99 |
Total Medicare Payment Amount |
240598.83 |
Total Medicare Standardized Payment Amount |
226725.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
77 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
2062.3 |
Total Drug Medicare AllowedAmount |
1121.7 |
Total Drug Medicare PaymentAmount |
879.41 |
Total Drug Medicare Standardized Payment Amount |
879.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
2130 |
Number Of Medicare Beneficiaries With Medical Services |
990 |
Total Medical Submitted Charge Amount |
470040.87 |
Total Medical Medicare Allowed Amount |
318107.29 |
Total Medical Medicare Payment Amount |
239719.42 |
Total Medical Medicare Standardized Payment Amount |
225846.58 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
111 |
Number Of Beneficiaries Age 65 to 74 |
376 |
Number Of Beneficiaries Age 75 to 84 |
351 |
Number Of Beneficiaries Age Greater 84 |
152 |
Number Of Female Beneficiaries |
517 |
Number Of Male Beneficiaries |
473 |
Number Of Non Hispanic White Beneficiaries |
817 |
Number Of Black or African American Beneficiaries |
131 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
874 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8366 |