National Provider Identifier [NPI]: |
1821071069 |
Last Name Of The Provider |
RAVENDHRAN |
First Name Of The Provider |
NATARAJAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 GEIPE RD |
Street Address 2 Of The Provider |
STE 230 |
City Of The Provider |
CATONSVILLE |
Zip Code Of The Provider |
212284147 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
2213 |
Number Of Medicare Beneficiaries |
572 |
Total Submitted Charge Amount |
493910.81 |
Total Medicare Allowed Amount |
240318.27 |
Total Medicare Payment Amount |
184413.5 |
Total Medicare Standardized Payment Amount |
178804.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
973 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
95460 |
Total Drug Medicare AllowedAmount |
67402.99 |
Total Drug Medicare PaymentAmount |
52843.94 |
Total Drug Medicare Standardized Payment Amount |
52843.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
1240 |
Number Of Medicare Beneficiaries With Medical Services |
572 |
Total Medical Submitted Charge Amount |
398450.81 |
Total Medical Medicare Allowed Amount |
172915.28 |
Total Medical Medicare Payment Amount |
131569.56 |
Total Medical Medicare Standardized Payment Amount |
125960.94 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
151 |
Number Of Beneficiaries Age 65 to 74 |
250 |
Number Of Beneficiaries Age 75 to 84 |
134 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
336 |
Number Of Male Beneficiaries |
236 |
Number Of Non Hispanic White Beneficiaries |
302 |
Number Of Black or African American Beneficiaries |
237 |
Number Of AsianPacific Islander Beneficiaries |
22 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
420 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
152 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.339 |