National Provider Identifier [NPI]: |
1154384261 |
Last Name Of The Provider |
JAIRATH |
First Name Of The Provider |
UMESH |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
520 MARY ST. |
Street Address 2 Of The Provider |
SUITE 230 |
City Of The Provider |
EVANSVILLE |
Zip Code Of The Provider |
477101678 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
5127 |
Number Of Medicare Beneficiaries |
2186 |
Total Submitted Charge Amount |
1390619.82 |
Total Medicare Allowed Amount |
418162.96 |
Total Medicare Payment Amount |
313357.6 |
Total Medicare Standardized Payment Amount |
332023.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
241 |
Number Of Medicare Beneficiaries With Drug Services |
65 |
Total Drug Submitted ChargeAmount |
38022 |
Total Drug Medicare AllowedAmount |
12482.41 |
Total Drug Medicare PaymentAmount |
9361.14 |
Total Drug Medicare Standardized Payment Amount |
9361.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
4886 |
Number Of Medicare Beneficiaries With Medical Services |
2186 |
Total Medical Submitted Charge Amount |
1352597.82 |
Total Medical Medicare Allowed Amount |
405680.55 |
Total Medical Medicare Payment Amount |
303996.46 |
Total Medical Medicare Standardized Payment Amount |
322661.92 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
408 |
Number Of Beneficiaries Age 65 to 74 |
746 |
Number Of Beneficiaries Age 75 to 84 |
634 |
Number Of Beneficiaries Age Greater 84 |
398 |
Number Of Female Beneficiaries |
1156 |
Number Of Male Beneficiaries |
1030 |
Number Of Non Hispanic White Beneficiaries |
2021 |
Number Of Black or African American Beneficiaries |
143 |
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 |
1538 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
648 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7687 |