National Provider Identifier [NPI]: |
1588873947 |
Last Name Of The Provider |
NJUGUNA |
First Name Of The Provider |
NJOGU |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
759 CHESTNUT ST |
Street Address 2 Of The Provider |
DEPARTMENT OF RADIOLOGY, BAYSTATE MEDICAL CENTER |
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
011991001 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
205 |
Number Of Services |
1485 |
Number Of Medicare Beneficiaries |
825 |
Total Submitted Charge Amount |
435765 |
Total Medicare Allowed Amount |
137328.29 |
Total Medicare Payment Amount |
105705.74 |
Total Medicare Standardized Payment Amount |
104521.58 |
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 |
205 |
Number Of Medical Services |
1485 |
Number Of Medicare Beneficiaries With Medical Services |
825 |
Total Medical Submitted Charge Amount |
435765 |
Total Medical Medicare Allowed Amount |
137328.29 |
Total Medical Medicare Payment Amount |
105705.74 |
Total Medical Medicare Standardized Payment Amount |
104521.58 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
196 |
Number Of Beneficiaries Age 65 to 74 |
263 |
Number Of Beneficiaries Age 75 to 84 |
233 |
Number Of Beneficiaries Age Greater 84 |
133 |
Number Of Female Beneficiaries |
445 |
Number Of Male Beneficiaries |
380 |
Number Of Non Hispanic White Beneficiaries |
662 |
Number Of Black or African American Beneficiaries |
59 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
82 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
476 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
349 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
56 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.4587 |