National Provider Identifier [NPI]: |
1730132788 |
Last Name Of The Provider |
NATARAJAN |
First Name Of The Provider |
SHIVA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7645 WOLF RIVER CIR |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
GERMANTOWN |
Zip Code Of The Provider |
381381751 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
43332 |
Number Of Medicare Beneficiaries |
1302 |
Total Submitted Charge Amount |
1231065 |
Total Medicare Allowed Amount |
759549.25 |
Total Medicare Payment Amount |
542983.6 |
Total Medicare Standardized Payment Amount |
565995.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
39452 |
Number Of Medicare Beneficiaries With Drug Services |
80 |
Total Drug Submitted ChargeAmount |
434970 |
Total Drug Medicare AllowedAmount |
246908.15 |
Total Drug Medicare PaymentAmount |
178701.54 |
Total Drug Medicare Standardized Payment Amount |
178701.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
3880 |
Number Of Medicare Beneficiaries With Medical Services |
1302 |
Total Medical Submitted Charge Amount |
796095 |
Total Medical Medicare Allowed Amount |
512641.1 |
Total Medical Medicare Payment Amount |
364282.06 |
Total Medical Medicare Standardized Payment Amount |
387294.03 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
419 |
Number Of Beneficiaries Age 65 to 74 |
408 |
Number Of Beneficiaries Age 75 to 84 |
346 |
Number Of Beneficiaries Age Greater 84 |
129 |
Number Of Female Beneficiaries |
786 |
Number Of Male Beneficiaries |
516 |
Number Of Non Hispanic White Beneficiaries |
934 |
Number Of Black or African American Beneficiaries |
338 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
913 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
389 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
1.5463 |