National Provider Identifier [NPI]: |
1093711384 |
Last Name Of The Provider |
KRAKORA |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1155 MILL ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
RENO |
Zip Code Of The Provider |
895021576 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
169 |
Number Of Services |
11580 |
Number Of Medicare Beneficiaries |
3491 |
Total Submitted Charge Amount |
1091817.22 |
Total Medicare Allowed Amount |
272309.77 |
Total Medicare Payment Amount |
221665.22 |
Total Medicare Standardized Payment Amount |
217385.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
5055 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
3184.65 |
Total Drug Medicare AllowedAmount |
966.55 |
Total Drug Medicare PaymentAmount |
739.44 |
Total Drug Medicare Standardized Payment Amount |
739.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
168 |
Number Of Medical Services |
6525 |
Number Of Medicare Beneficiaries With Medical Services |
3491 |
Total Medical Submitted Charge Amount |
1088632.57 |
Total Medical Medicare Allowed Amount |
271343.22 |
Total Medical Medicare Payment Amount |
220925.78 |
Total Medical Medicare Standardized Payment Amount |
216646.54 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
618 |
Number Of Beneficiaries Age 65 to 74 |
1563 |
Number Of Beneficiaries Age 75 to 84 |
950 |
Number Of Beneficiaries Age Greater 84 |
360 |
Number Of Female Beneficiaries |
2292 |
Number Of Male Beneficiaries |
1199 |
Number Of Non Hispanic White Beneficiaries |
2992 |
Number Of Black or African American Beneficiaries |
99 |
Number Of AsianPacific Islander Beneficiaries |
70 |
Number Of Hispanic Beneficiaries |
234 |
Number Of American Indian Alaska Native Beneficiaries |
63 |
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
2798 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
693 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4509 |