National Provider Identifier [NPI]: |
1629002787 |
Last Name Of The Provider |
NAIR |
First Name Of The Provider |
SURESH |
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 |
8442 DIXIE HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
LOUISVILLE |
Zip Code Of The Provider |
402581140 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
3398 |
Number Of Medicare Beneficiaries |
835 |
Total Submitted Charge Amount |
365701.6 |
Total Medicare Allowed Amount |
205551.42 |
Total Medicare Payment Amount |
151369.69 |
Total Medicare Standardized Payment Amount |
162752.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
355 |
Number Of Medicare Beneficiaries With Drug Services |
141 |
Total Drug Submitted ChargeAmount |
11968 |
Total Drug Medicare AllowedAmount |
5807.8 |
Total Drug Medicare PaymentAmount |
4977.4 |
Total Drug Medicare Standardized Payment Amount |
4977.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
3043 |
Number Of Medicare Beneficiaries With Medical Services |
835 |
Total Medical Submitted Charge Amount |
353733.6 |
Total Medical Medicare Allowed Amount |
199743.62 |
Total Medical Medicare Payment Amount |
146392.29 |
Total Medical Medicare Standardized Payment Amount |
157775.18 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
206 |
Number Of Beneficiaries Age 65 to 74 |
178 |
Number Of Beneficiaries Age 75 to 84 |
211 |
Number Of Beneficiaries Age Greater 84 |
240 |
Number Of Female Beneficiaries |
572 |
Number Of Male Beneficiaries |
263 |
Number Of Non Hispanic White Beneficiaries |
764 |
Number Of Black or African American Beneficiaries |
59 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
442 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
393 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
43 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
59 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
17 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.9149 |