National Provider Identifier [NPI]: |
1225251077 |
Last Name Of The Provider |
SEELAGAN |
First Name Of The Provider |
DAVINDRA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2501 KUSER RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
HAMILTON |
Zip Code Of The Provider |
086913386 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
166 |
Number Of Services |
4304 |
Number Of Medicare Beneficiaries |
2920 |
Total Submitted Charge Amount |
732276 |
Total Medicare Allowed Amount |
171152.75 |
Total Medicare Payment Amount |
131195.5 |
Total Medicare Standardized Payment Amount |
126599.31 |
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 |
166 |
Number Of Medical Services |
4304 |
Number Of Medicare Beneficiaries With Medical Services |
2920 |
Total Medical Submitted Charge Amount |
732276 |
Total Medical Medicare Allowed Amount |
171152.75 |
Total Medical Medicare Payment Amount |
131195.5 |
Total Medical Medicare Standardized Payment Amount |
126599.31 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
550 |
Number Of Beneficiaries Age 65 to 74 |
1030 |
Number Of Beneficiaries Age 75 to 84 |
760 |
Number Of Beneficiaries Age Greater 84 |
580 |
Number Of Female Beneficiaries |
1721 |
Number Of Male Beneficiaries |
1199 |
Number Of Non Hispanic White Beneficiaries |
2493 |
Number Of Black or African American Beneficiaries |
225 |
Number Of AsianPacific Islander Beneficiaries |
48 |
Number Of Hispanic Beneficiaries |
107 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
47 |
Number Of Beneficiaries With Medicare Only Entitlement |
2150 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
770 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.8164 |