National Provider Identifier [NPI]: |
1013040708 |
Last Name Of The Provider |
NAVAYOGARAJAH |
First Name Of The Provider |
SHAHILA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7457 PELBROOK FARM DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
CENTERVILLE |
Zip Code Of The Provider |
454595066 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
261 |
Number Of Medicare Beneficiaries |
146 |
Total Submitted Charge Amount |
35910 |
Total Medicare Allowed Amount |
18971.13 |
Total Medicare Payment Amount |
12490.79 |
Total Medicare Standardized Payment Amount |
12980.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
38 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
983 |
Total Drug Medicare AllowedAmount |
89.96 |
Total Drug Medicare PaymentAmount |
66.26 |
Total Drug Medicare Standardized Payment Amount |
66.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
223 |
Number Of Medicare Beneficiaries With Medical Services |
146 |
Total Medical Submitted Charge Amount |
34927 |
Total Medical Medicare Allowed Amount |
18881.17 |
Total Medical Medicare Payment Amount |
12424.53 |
Total Medical Medicare Standardized Payment Amount |
12914.5 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
54 |
Number Of Beneficiaries Age 75 to 84 |
28 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
107 |
Number Of Male Beneficiaries |
39 |
Number Of Non Hispanic White Beneficiaries |
124 |
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 |
97 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
49 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0324 |