National Provider Identifier [NPI]: |
1710976626 |
Last Name Of The Provider |
JUTURI |
First Name Of The Provider |
JAYA |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8220 WALNUT HILL LN |
Street Address 2 Of The Provider |
SUITE 700 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752314427 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
127 |
Number Of Services |
82755 |
Number Of Medicare Beneficiaries |
468 |
Total Submitted Charge Amount |
5409119 |
Total Medicare Allowed Amount |
1660000.98 |
Total Medicare Payment Amount |
1268940.18 |
Total Medicare Standardized Payment Amount |
1262370.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
59 |
Number Of Drug Services |
74339 |
Number Of Medicare Beneficiaries With Drug Services |
122 |
Total Drug Submitted ChargeAmount |
4187929 |
Total Drug Medicare AllowedAmount |
1303969.25 |
Total Drug Medicare PaymentAmount |
988678.14 |
Total Drug Medicare Standardized Payment Amount |
988678.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
8416 |
Number Of Medicare Beneficiaries With Medical Services |
467 |
Total Medical Submitted Charge Amount |
1221190 |
Total Medical Medicare Allowed Amount |
356031.73 |
Total Medical Medicare Payment Amount |
280262.04 |
Total Medical Medicare Standardized Payment Amount |
273692.02 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
199 |
Number Of Beneficiaries Age 75 to 84 |
163 |
Number Of Beneficiaries Age Greater 84 |
73 |
Number Of Female Beneficiaries |
370 |
Number Of Male Beneficiaries |
98 |
Number Of Non Hispanic White Beneficiaries |
404 |
Number Of Black or African American Beneficiaries |
37 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
439 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
29 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
50 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4643 |