National Provider Identifier [NPI]: |
1134373731 |
Last Name Of The Provider |
MAJMUDAR |
First Name Of The Provider |
AMIT |
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 |
11477 MAYFIELD RD |
Street Address 2 Of The Provider |
APARTMENT 414 |
City Of The Provider |
CLEVELAND |
Zip Code Of The Provider |
441065900 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
99 |
Number Of Services |
3352 |
Number Of Medicare Beneficiaries |
2610 |
Total Submitted Charge Amount |
421866 |
Total Medicare Allowed Amount |
111346.87 |
Total Medicare Payment Amount |
83518.11 |
Total Medicare Standardized Payment Amount |
86298.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
99 |
Number Of Medical Services |
3352 |
Number Of Medicare Beneficiaries With Medical Services |
2610 |
Total Medical Submitted Charge Amount |
421866 |
Total Medical Medicare Allowed Amount |
111346.87 |
Total Medical Medicare Payment Amount |
83518.11 |
Total Medical Medicare Standardized Payment Amount |
86298.21 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
708 |
Number Of Beneficiaries Age 65 to 74 |
787 |
Number Of Beneficiaries Age 75 to 84 |
677 |
Number Of Beneficiaries Age Greater 84 |
438 |
Number Of Female Beneficiaries |
1498 |
Number Of Male Beneficiaries |
1112 |
Number Of Non Hispanic White Beneficiaries |
2053 |
Number Of Black or African American Beneficiaries |
478 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
1645 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
965 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.1308 |