National Provider Identifier [NPI]: |
1083698369 |
Last Name Of The Provider |
KRISHNAN |
First Name Of The Provider |
UMA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1901 S CEDAR ST |
Street Address 2 Of The Provider |
SUITE 301 CARDIAC STUDY CENTER, INC., P.S. |
City Of The Provider |
TACOMA |
Zip Code Of The Provider |
984052308 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
10683 |
Number Of Medicare Beneficiaries |
1850 |
Total Submitted Charge Amount |
1949165.24 |
Total Medicare Allowed Amount |
1175778.06 |
Total Medicare Payment Amount |
889569.77 |
Total Medicare Standardized Payment Amount |
895776.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
4769 |
Number Of Medicare Beneficiaries With Drug Services |
376 |
Total Drug Submitted ChargeAmount |
103858 |
Total Drug Medicare AllowedAmount |
73057.39 |
Total Drug Medicare PaymentAmount |
56350.13 |
Total Drug Medicare Standardized Payment Amount |
56350.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
5914 |
Number Of Medicare Beneficiaries With Medical Services |
1849 |
Total Medical Submitted Charge Amount |
1845307.24 |
Total Medical Medicare Allowed Amount |
1102720.67 |
Total Medical Medicare Payment Amount |
833219.64 |
Total Medical Medicare Standardized Payment Amount |
839426.43 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
178 |
Number Of Beneficiaries Age 65 to 74 |
747 |
Number Of Beneficiaries Age 75 to 84 |
669 |
Number Of Beneficiaries Age Greater 84 |
256 |
Number Of Female Beneficiaries |
1049 |
Number Of Male Beneficiaries |
801 |
Number Of Non Hispanic White Beneficiaries |
1692 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
44 |
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
22 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1644 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
206 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5571 |