National Provider Identifier [NPI]: |
1548386097 |
Last Name Of The Provider |
SARANG |
First Name Of The Provider |
TRUSHAR |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8629 SUDLEY RD |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
MANASSAS |
Zip Code Of The Provider |
201104590 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
177 |
Number Of Services |
3251 |
Number Of Medicare Beneficiaries |
2283 |
Total Submitted Charge Amount |
629629.99 |
Total Medicare Allowed Amount |
120610.02 |
Total Medicare Payment Amount |
87710.1 |
Total Medicare Standardized Payment Amount |
90879.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
177 |
Number Of Medical Services |
3251 |
Number Of Medicare Beneficiaries With Medical Services |
2283 |
Total Medical Submitted Charge Amount |
629629.99 |
Total Medical Medicare Allowed Amount |
120610.02 |
Total Medical Medicare Payment Amount |
87710.1 |
Total Medical Medicare Standardized Payment Amount |
90879.58 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
297 |
Number Of Beneficiaries Age 65 to 74 |
992 |
Number Of Beneficiaries Age 75 to 84 |
676 |
Number Of Beneficiaries Age Greater 84 |
318 |
Number Of Female Beneficiaries |
1403 |
Number Of Male Beneficiaries |
880 |
Number Of Non Hispanic White Beneficiaries |
1877 |
Number Of Black or African American Beneficiaries |
235 |
Number Of AsianPacific Islander Beneficiaries |
59 |
Number Of Hispanic Beneficiaries |
78 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1897 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
386 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3881 |