National Provider Identifier [NPI]: |
1659369056 |
Last Name Of The Provider |
NIGALYE |
First Name Of The Provider |
NARENDRA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
125 S PARK DR |
Street Address 2 Of The Provider |
STE H |
City Of The Provider |
BROWNWOOD |
Zip Code Of The Provider |
768015952 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
7876 |
Number Of Medicare Beneficiaries |
765 |
Total Submitted Charge Amount |
1388672 |
Total Medicare Allowed Amount |
368896.22 |
Total Medicare Payment Amount |
274234.57 |
Total Medicare Standardized Payment Amount |
282799.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
2179 |
Number Of Medicare Beneficiaries With Drug Services |
219 |
Total Drug Submitted ChargeAmount |
87474 |
Total Drug Medicare AllowedAmount |
4565.46 |
Total Drug Medicare PaymentAmount |
3606.29 |
Total Drug Medicare Standardized Payment Amount |
3606.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
108 |
Number Of Medical Services |
5697 |
Number Of Medicare Beneficiaries With Medical Services |
765 |
Total Medical Submitted Charge Amount |
1301198 |
Total Medical Medicare Allowed Amount |
364330.76 |
Total Medical Medicare Payment Amount |
270628.28 |
Total Medical Medicare Standardized Payment Amount |
279192.83 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
195 |
Number Of Beneficiaries Age 65 to 74 |
263 |
Number Of Beneficiaries Age 75 to 84 |
191 |
Number Of Beneficiaries Age Greater 84 |
116 |
Number Of Female Beneficiaries |
414 |
Number Of Male Beneficiaries |
351 |
Number Of Non Hispanic White Beneficiaries |
628 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
104 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
430 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
335 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5534 |