National Provider Identifier [NPI]: |
1710957436 |
Last Name Of The Provider |
RANJITKAR |
First Name Of The Provider |
TIKA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1200 S FARMERVILLE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
RUSTON |
Zip Code Of The Provider |
712705941 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
1842 |
Number Of Medicare Beneficiaries |
392 |
Total Submitted Charge Amount |
292059.1 |
Total Medicare Allowed Amount |
96205.29 |
Total Medicare Payment Amount |
67544.99 |
Total Medicare Standardized Payment Amount |
73589.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
725 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
110443.5 |
Total Drug Medicare AllowedAmount |
23446.01 |
Total Drug Medicare PaymentAmount |
18011.07 |
Total Drug Medicare Standardized Payment Amount |
18011.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
1117 |
Number Of Medicare Beneficiaries With Medical Services |
392 |
Total Medical Submitted Charge Amount |
181615.6 |
Total Medical Medicare Allowed Amount |
72759.28 |
Total Medical Medicare Payment Amount |
49533.92 |
Total Medical Medicare Standardized Payment Amount |
55578.38 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
185 |
Number Of Beneficiaries Age 75 to 84 |
140 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
89 |
Number Of Male Beneficiaries |
303 |
Number Of Non Hispanic White Beneficiaries |
286 |
Number Of Black or African American Beneficiaries |
|
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 |
353 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
|
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.003 |