National Provider Identifier [NPI]: |
1548216179 |
Last Name Of The Provider |
MAJUMDAR |
First Name Of The Provider |
SURAJIT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD, FACP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12700 SOUTHFORK RD |
Street Address 2 Of The Provider |
STE 280 |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631283201 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
1445 |
Number Of Medicare Beneficiaries |
545 |
Total Submitted Charge Amount |
185043.58 |
Total Medicare Allowed Amount |
107577.61 |
Total Medicare Payment Amount |
71677.4 |
Total Medicare Standardized Payment Amount |
77935.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
398.08 |
Total Drug Medicare AllowedAmount |
144.65 |
Total Drug Medicare PaymentAmount |
137.31 |
Total Drug Medicare Standardized Payment Amount |
137.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
1422 |
Number Of Medicare Beneficiaries With Medical Services |
545 |
Total Medical Submitted Charge Amount |
184645.5 |
Total Medical Medicare Allowed Amount |
107432.96 |
Total Medical Medicare Payment Amount |
71540.09 |
Total Medical Medicare Standardized Payment Amount |
77798.16 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
112 |
Number Of Beneficiaries Age 65 to 74 |
197 |
Number Of Beneficiaries Age 75 to 84 |
164 |
Number Of Beneficiaries Age Greater 84 |
72 |
Number Of Female Beneficiaries |
292 |
Number Of Male Beneficiaries |
253 |
Number Of Non Hispanic White Beneficiaries |
476 |
Number Of Black or African American Beneficiaries |
53 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
398 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
147 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.009 |