National Provider Identifier [NPI]: |
1316990328 |
Last Name Of The Provider |
KAJI |
First Name Of The Provider |
ARJUN |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1600 PHILLIPS RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
TALLAHASSEE |
Zip Code Of The Provider |
323085304 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
166 |
Number Of Services |
12893 |
Number Of Medicare Beneficiaries |
3665 |
Total Submitted Charge Amount |
992459 |
Total Medicare Allowed Amount |
294334.42 |
Total Medicare Payment Amount |
222574.06 |
Total Medicare Standardized Payment Amount |
228183.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
6877 |
Number Of Medicare Beneficiaries With Drug Services |
164 |
Total Drug Submitted ChargeAmount |
19438 |
Total Drug Medicare AllowedAmount |
3868.98 |
Total Drug Medicare PaymentAmount |
2956.18 |
Total Drug Medicare Standardized Payment Amount |
2956.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
163 |
Number Of Medical Services |
6016 |
Number Of Medicare Beneficiaries With Medical Services |
3654 |
Total Medical Submitted Charge Amount |
973021 |
Total Medical Medicare Allowed Amount |
290465.44 |
Total Medical Medicare Payment Amount |
219617.88 |
Total Medical Medicare Standardized Payment Amount |
225227.74 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
724 |
Number Of Beneficiaries Age 65 to 74 |
1149 |
Number Of Beneficiaries Age 75 to 84 |
1080 |
Number Of Beneficiaries Age Greater 84 |
712 |
Number Of Female Beneficiaries |
2171 |
Number Of Male Beneficiaries |
1494 |
Number Of Non Hispanic White Beneficiaries |
2689 |
Number Of Black or African American Beneficiaries |
882 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
43 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
2470 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1195 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.6684 |