National Provider Identifier [NPI]: |
1356322598 |
Last Name Of The Provider |
JUMANI |
First Name Of The Provider |
SATISH |
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 |
12070 OLD LINE CTR |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
WALDORF |
Zip Code Of The Provider |
206022513 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
5509 |
Number Of Medicare Beneficiaries |
1166 |
Total Submitted Charge Amount |
513943.5 |
Total Medicare Allowed Amount |
242147.17 |
Total Medicare Payment Amount |
178470.46 |
Total Medicare Standardized Payment Amount |
172831.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
26 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
959 |
Total Drug Medicare AllowedAmount |
572.2 |
Total Drug Medicare PaymentAmount |
557.95 |
Total Drug Medicare Standardized Payment Amount |
557.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
5483 |
Number Of Medicare Beneficiaries With Medical Services |
1166 |
Total Medical Submitted Charge Amount |
512984.5 |
Total Medical Medicare Allowed Amount |
241574.97 |
Total Medical Medicare Payment Amount |
177912.51 |
Total Medical Medicare Standardized Payment Amount |
172273.87 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
193 |
Number Of Beneficiaries Age 65 to 74 |
469 |
Number Of Beneficiaries Age 75 to 84 |
353 |
Number Of Beneficiaries Age Greater 84 |
151 |
Number Of Female Beneficiaries |
632 |
Number Of Male Beneficiaries |
534 |
Number Of Non Hispanic White Beneficiaries |
447 |
Number Of Black or African American Beneficiaries |
664 |
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
933 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
233 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.0955 |