National Provider Identifier [NPI]: |
1225003320 |
Last Name Of The Provider |
LALAJI |
First Name Of The Provider |
TEJAL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3340 PEACHTREE ROAD NE |
Street Address 2 Of The Provider |
SUITE 2025 |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
305776002 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
141 |
Number Of Services |
5164 |
Number Of Medicare Beneficiaries |
2306 |
Total Submitted Charge Amount |
842147.9 |
Total Medicare Allowed Amount |
205166.53 |
Total Medicare Payment Amount |
168331.58 |
Total Medicare Standardized Payment Amount |
168432.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1570 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
664.7 |
Total Drug Medicare AllowedAmount |
620.07 |
Total Drug Medicare PaymentAmount |
486.08 |
Total Drug Medicare Standardized Payment Amount |
486.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
138 |
Number Of Medical Services |
3594 |
Number Of Medicare Beneficiaries With Medical Services |
2306 |
Total Medical Submitted Charge Amount |
841483.2 |
Total Medical Medicare Allowed Amount |
204546.46 |
Total Medical Medicare Payment Amount |
167845.5 |
Total Medical Medicare Standardized Payment Amount |
167946.45 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
445 |
Number Of Beneficiaries Age 65 to 74 |
1012 |
Number Of Beneficiaries Age 75 to 84 |
601 |
Number Of Beneficiaries Age Greater 84 |
248 |
Number Of Female Beneficiaries |
1760 |
Number Of Male Beneficiaries |
546 |
Number Of Non Hispanic White Beneficiaries |
1946 |
Number Of Black or African American Beneficiaries |
247 |
Number Of AsianPacific Islander Beneficiaries |
46 |
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1462 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
844 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3219 |