National Provider Identifier [NPI]: |
1346487808 |
Last Name Of The Provider |
MURALIDHAR |
First Name Of The Provider |
ROOPASHREE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
444 MONTGOMERY STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHICOPEE |
Zip Code Of The Provider |
010201997 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
3447 |
Number Of Medicare Beneficiaries |
706 |
Total Submitted Charge Amount |
293683 |
Total Medicare Allowed Amount |
154375.03 |
Total Medicare Payment Amount |
114551.53 |
Total Medicare Standardized Payment Amount |
113025.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
216 |
Number Of Medicare Beneficiaries With Drug Services |
137 |
Total Drug Submitted ChargeAmount |
7902 |
Total Drug Medicare AllowedAmount |
5212.97 |
Total Drug Medicare PaymentAmount |
5081.69 |
Total Drug Medicare Standardized Payment Amount |
5081.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
3231 |
Number Of Medicare Beneficiaries With Medical Services |
705 |
Total Medical Submitted Charge Amount |
285781 |
Total Medical Medicare Allowed Amount |
149162.06 |
Total Medical Medicare Payment Amount |
109469.84 |
Total Medical Medicare Standardized Payment Amount |
107943.41 |
Average Age Of Beneficiaries |
63 |
Number Of Beneficiaries Age Less65 |
309 |
Number Of Beneficiaries Age 65 to 74 |
228 |
Number Of Beneficiaries Age 75 to 84 |
101 |
Number Of Beneficiaries Age Greater 84 |
68 |
Number Of Female Beneficiaries |
481 |
Number Of Male Beneficiaries |
225 |
Number Of Non Hispanic White Beneficiaries |
420 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
245 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
286 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
420 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2132 |