National Provider Identifier [NPI]: |
1982662938 |
Last Name Of The Provider |
GIRI |
First Name Of The Provider |
SATYENDRA |
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 |
1900 WOODLAND DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
COOS BAY |
Zip Code Of The Provider |
974202045 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
5722 |
Number Of Medicare Beneficiaries |
492 |
Total Submitted Charge Amount |
840283 |
Total Medicare Allowed Amount |
225016.73 |
Total Medicare Payment Amount |
169324.97 |
Total Medicare Standardized Payment Amount |
180198.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
4840 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
4840 |
Total Drug Medicare AllowedAmount |
849.8 |
Total Drug Medicare PaymentAmount |
666.35 |
Total Drug Medicare Standardized Payment Amount |
666.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
882 |
Number Of Medicare Beneficiaries With Medical Services |
492 |
Total Medical Submitted Charge Amount |
835443 |
Total Medical Medicare Allowed Amount |
224166.93 |
Total Medical Medicare Payment Amount |
168658.62 |
Total Medical Medicare Standardized Payment Amount |
179532.05 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
201 |
Number Of Beneficiaries Age 75 to 84 |
155 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
217 |
Number Of Male Beneficiaries |
275 |
Number Of Non Hispanic White Beneficiaries |
465 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
381 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
111 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4282 |