National Provider Identifier [NPI]: |
1750591764 |
Last Name Of The Provider |
SAJJA |
First Name Of The Provider |
VENU |
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 |
55 WHITCHER ST NE |
Street Address 2 Of The Provider |
SUITE 350 |
City Of The Provider |
MARIETTA |
Zip Code Of The Provider |
300601155 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
5844 |
Number Of Medicare Beneficiaries |
2518 |
Total Submitted Charge Amount |
554533 |
Total Medicare Allowed Amount |
261091.69 |
Total Medicare Payment Amount |
192876.51 |
Total Medicare Standardized Payment Amount |
193906.12 |
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 |
42 |
Number Of Medical Services |
5844 |
Number Of Medicare Beneficiaries With Medical Services |
2518 |
Total Medical Submitted Charge Amount |
554533 |
Total Medical Medicare Allowed Amount |
261091.69 |
Total Medical Medicare Payment Amount |
192876.51 |
Total Medical Medicare Standardized Payment Amount |
193906.12 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
312 |
Number Of Beneficiaries Age 65 to 74 |
872 |
Number Of Beneficiaries Age 75 to 84 |
850 |
Number Of Beneficiaries Age Greater 84 |
484 |
Number Of Female Beneficiaries |
1350 |
Number Of Male Beneficiaries |
1168 |
Number Of Non Hispanic White Beneficiaries |
2139 |
Number Of Black or African American Beneficiaries |
268 |
Number Of AsianPacific Islander Beneficiaries |
32 |
Number Of Hispanic Beneficiaries |
56 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
2097 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
421 |
Percent Of With Atrial Fibrillation |
36 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.9369 |