National Provider Identifier [NPI]: |
1013909746 |
Last Name Of The Provider |
BAJAJ |
First Name Of The Provider |
RAVI |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
551 N HILLSIDE ST |
Street Address 2 Of The Provider |
SUITE 410 |
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672144923 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
111 |
Number Of Services |
14280 |
Number Of Medicare Beneficiaries |
2488 |
Total Submitted Charge Amount |
3497119.45 |
Total Medicare Allowed Amount |
1204063.52 |
Total Medicare Payment Amount |
900157.45 |
Total Medicare Standardized Payment Amount |
965908.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1174 |
Number Of Medicare Beneficiaries With Drug Services |
157 |
Total Drug Submitted ChargeAmount |
150262.7 |
Total Drug Medicare AllowedAmount |
33102.87 |
Total Drug Medicare PaymentAmount |
25781.37 |
Total Drug Medicare Standardized Payment Amount |
25781.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
109 |
Number Of Medical Services |
13106 |
Number Of Medicare Beneficiaries With Medical Services |
2488 |
Total Medical Submitted Charge Amount |
3346856.75 |
Total Medical Medicare Allowed Amount |
1170960.65 |
Total Medical Medicare Payment Amount |
874376.08 |
Total Medical Medicare Standardized Payment Amount |
940127.1 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
141 |
Number Of Beneficiaries Age 65 to 74 |
912 |
Number Of Beneficiaries Age 75 to 84 |
965 |
Number Of Beneficiaries Age Greater 84 |
470 |
Number Of Female Beneficiaries |
1205 |
Number Of Male Beneficiaries |
1283 |
Number Of Non Hispanic White Beneficiaries |
2279 |
Number Of Black or African American Beneficiaries |
104 |
Number Of AsianPacific Islander Beneficiaries |
22 |
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
13 |
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
2297 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
191 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.3758 |