National Provider Identifier [NPI]: |
1093805863 |
Last Name Of The Provider |
NARAYAN |
First Name Of The Provider |
RAJEEV |
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 |
102 PALO ALTO RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782113758 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
47734 |
Number Of Medicare Beneficiaries |
644 |
Total Submitted Charge Amount |
2960953.84 |
Total Medicare Allowed Amount |
845646.76 |
Total Medicare Payment Amount |
652815.03 |
Total Medicare Standardized Payment Amount |
709106.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
44864 |
Number Of Medicare Beneficiaries With Drug Services |
302 |
Total Drug Submitted ChargeAmount |
126322.84 |
Total Drug Medicare AllowedAmount |
24192.78 |
Total Drug Medicare PaymentAmount |
18069.99 |
Total Drug Medicare Standardized Payment Amount |
18069.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
2870 |
Number Of Medicare Beneficiaries With Medical Services |
644 |
Total Medical Submitted Charge Amount |
2834631 |
Total Medical Medicare Allowed Amount |
821453.98 |
Total Medical Medicare Payment Amount |
634745.04 |
Total Medical Medicare Standardized Payment Amount |
691036.65 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
268 |
Number Of Beneficiaries Age 65 to 74 |
187 |
Number Of Beneficiaries Age 75 to 84 |
131 |
Number Of Beneficiaries Age Greater 84 |
58 |
Number Of Female Beneficiaries |
330 |
Number Of Male Beneficiaries |
314 |
Number Of Non Hispanic White Beneficiaries |
194 |
Number Of Black or African American Beneficiaries |
109 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
330 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
323 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
321 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
62 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
6.3567 |