National Provider Identifier [NPI]: |
1578584405 |
Last Name Of The Provider |
RAGURAJ |
First Name Of The Provider |
SINNARAJAH |
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 |
208 PLUMTREE RD |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
BEL AIR |
Zip Code Of The Provider |
210156056 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
3890 |
Number Of Medicare Beneficiaries |
498 |
Total Submitted Charge Amount |
385450 |
Total Medicare Allowed Amount |
254437.76 |
Total Medicare Payment Amount |
185105.97 |
Total Medicare Standardized Payment Amount |
174896.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
325 |
Number Of Medicare Beneficiaries With Drug Services |
296 |
Total Drug Submitted ChargeAmount |
10925 |
Total Drug Medicare AllowedAmount |
9547.05 |
Total Drug Medicare PaymentAmount |
9273.36 |
Total Drug Medicare Standardized Payment Amount |
9273.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
3565 |
Number Of Medicare Beneficiaries With Medical Services |
498 |
Total Medical Submitted Charge Amount |
374525 |
Total Medical Medicare Allowed Amount |
244890.71 |
Total Medical Medicare Payment Amount |
175832.61 |
Total Medical Medicare Standardized Payment Amount |
165623.52 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
256 |
Number Of Beneficiaries Age 75 to 84 |
157 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
270 |
Number Of Male Beneficiaries |
228 |
Number Of Non Hispanic White Beneficiaries |
448 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
471 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9704 |