National Provider Identifier [NPI]: |
1568403210 |
Last Name Of The Provider |
KRISHNAN |
First Name Of The Provider |
ARUN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2801 K ST |
Street Address 2 Of The Provider |
SUITE 502 |
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958165120 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
17886 |
Number Of Medicare Beneficiaries |
2054 |
Total Submitted Charge Amount |
1764717 |
Total Medicare Allowed Amount |
298141.46 |
Total Medicare Payment Amount |
225586.38 |
Total Medicare Standardized Payment Amount |
219878.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
15228 |
Number Of Medicare Beneficiaries With Drug Services |
187 |
Total Drug Submitted ChargeAmount |
37545 |
Total Drug Medicare AllowedAmount |
5626.53 |
Total Drug Medicare PaymentAmount |
4410.15 |
Total Drug Medicare Standardized Payment Amount |
4410.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
2658 |
Number Of Medicare Beneficiaries With Medical Services |
2054 |
Total Medical Submitted Charge Amount |
1727172 |
Total Medical Medicare Allowed Amount |
292514.93 |
Total Medical Medicare Payment Amount |
221176.23 |
Total Medical Medicare Standardized Payment Amount |
215468.33 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
330 |
Number Of Beneficiaries Age 65 to 74 |
698 |
Number Of Beneficiaries Age 75 to 84 |
616 |
Number Of Beneficiaries Age Greater 84 |
410 |
Number Of Female Beneficiaries |
1177 |
Number Of Male Beneficiaries |
877 |
Number Of Non Hispanic White Beneficiaries |
1576 |
Number Of Black or African American Beneficiaries |
123 |
Number Of AsianPacific Islander Beneficiaries |
130 |
Number Of Hispanic Beneficiaries |
172 |
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
39 |
Number Of Beneficiaries With Medicare Only Entitlement |
1535 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
519 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
22 |
Average HCC Risk Score Of Beneficiaries |
1.5423 |