National Provider Identifier [NPI]: |
1154509206 |
Last Name Of The Provider |
JAYASHANKAR |
First Name Of The Provider |
ASHOK |
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 |
1330 N CROSSING DR NE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303293570 |
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 |
226 |
Number Of Services |
10290 |
Number Of Medicare Beneficiaries |
6209 |
Total Submitted Charge Amount |
1089079 |
Total Medicare Allowed Amount |
314630.97 |
Total Medicare Payment Amount |
241555.05 |
Total Medicare Standardized Payment Amount |
257547.38 |
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 |
226 |
Number Of Medical Services |
10290 |
Number Of Medicare Beneficiaries With Medical Services |
6209 |
Total Medical Submitted Charge Amount |
1089079 |
Total Medical Medicare Allowed Amount |
314630.97 |
Total Medical Medicare Payment Amount |
241555.05 |
Total Medical Medicare Standardized Payment Amount |
257547.38 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
1437 |
Number Of Beneficiaries Age 65 to 74 |
2360 |
Number Of Beneficiaries Age 75 to 84 |
1637 |
Number Of Beneficiaries Age Greater 84 |
775 |
Number Of Female Beneficiaries |
4011 |
Number Of Male Beneficiaries |
2198 |
Number Of Non Hispanic White Beneficiaries |
4958 |
Number Of Black or African American Beneficiaries |
1179 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
4068 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2141 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7282 |