National Provider Identifier [NPI]: |
1821097031 |
Last Name Of The Provider |
SARAIYA |
First Name Of The Provider |
SHARAD |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
131 JENNICK DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLONIAL HEIGHTS |
Zip Code Of The Provider |
238344905 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
130 |
Number Of Services |
5698 |
Number Of Medicare Beneficiaries |
622 |
Total Submitted Charge Amount |
630321 |
Total Medicare Allowed Amount |
266197.99 |
Total Medicare Payment Amount |
196320.75 |
Total Medicare Standardized Payment Amount |
201342.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2991 |
Number Of Medicare Beneficiaries With Drug Services |
288 |
Total Drug Submitted ChargeAmount |
106713 |
Total Drug Medicare AllowedAmount |
53492.71 |
Total Drug Medicare PaymentAmount |
39872.5 |
Total Drug Medicare Standardized Payment Amount |
39872.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
125 |
Number Of Medical Services |
2707 |
Number Of Medicare Beneficiaries With Medical Services |
622 |
Total Medical Submitted Charge Amount |
523608 |
Total Medical Medicare Allowed Amount |
212705.28 |
Total Medical Medicare Payment Amount |
156448.25 |
Total Medical Medicare Standardized Payment Amount |
161470.16 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
101 |
Number Of Beneficiaries Age 65 to 74 |
234 |
Number Of Beneficiaries Age 75 to 84 |
193 |
Number Of Beneficiaries Age Greater 84 |
94 |
Number Of Female Beneficiaries |
451 |
Number Of Male Beneficiaries |
171 |
Number Of Non Hispanic White Beneficiaries |
338 |
Number Of Black or African American Beneficiaries |
236 |
Number Of AsianPacific Islander Beneficiaries |
29 |
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 |
491 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5564 |