National Provider Identifier [NPI]: |
1093797235 |
Last Name Of The Provider |
KHURANA |
First Name Of The Provider |
BHARTI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
75 FRANCIS ST |
Street Address 2 Of The Provider |
RADIOLOGY, BRIGHAM & WOMENS HOSPITAL |
City Of The Provider |
BOSTON |
Zip Code Of The Provider |
021156110 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
2982 |
Number Of Medicare Beneficiaries |
1805 |
Total Submitted Charge Amount |
312057 |
Total Medicare Allowed Amount |
86184.41 |
Total Medicare Payment Amount |
65993.58 |
Total Medicare Standardized Payment Amount |
65017.71 |
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 |
95 |
Number Of Medical Services |
2982 |
Number Of Medicare Beneficiaries With Medical Services |
1805 |
Total Medical Submitted Charge Amount |
312057 |
Total Medical Medicare Allowed Amount |
86184.41 |
Total Medical Medicare Payment Amount |
65993.58 |
Total Medical Medicare Standardized Payment Amount |
65017.71 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
459 |
Number Of Beneficiaries Age 65 to 74 |
545 |
Number Of Beneficiaries Age 75 to 84 |
462 |
Number Of Beneficiaries Age Greater 84 |
339 |
Number Of Female Beneficiaries |
1021 |
Number Of Male Beneficiaries |
784 |
Number Of Non Hispanic White Beneficiaries |
1285 |
Number Of Black or African American Beneficiaries |
252 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
197 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
45 |
Number Of Beneficiaries With Medicare Only Entitlement |
1057 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
748 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.1825 |