National Provider Identifier [NPI]: |
1154320414 |
Last Name Of The Provider |
MUKHARJI |
First Name Of The Provider |
JHULAN |
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 |
9119 W 74TH ST |
Street Address 2 Of The Provider |
SUITE 350 |
City Of The Provider |
SHAWNEE MISSION |
Zip Code Of The Provider |
662042215 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
3474 |
Number Of Medicare Beneficiaries |
1367 |
Total Submitted Charge Amount |
633069 |
Total Medicare Allowed Amount |
271151.94 |
Total Medicare Payment Amount |
198100.54 |
Total Medicare Standardized Payment Amount |
212345.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
145 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
13250 |
Total Drug Medicare AllowedAmount |
7644.03 |
Total Drug Medicare PaymentAmount |
5826.27 |
Total Drug Medicare Standardized Payment Amount |
5826.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
3329 |
Number Of Medicare Beneficiaries With Medical Services |
1367 |
Total Medical Submitted Charge Amount |
619819 |
Total Medical Medicare Allowed Amount |
263507.91 |
Total Medical Medicare Payment Amount |
192274.27 |
Total Medical Medicare Standardized Payment Amount |
206519.26 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
448 |
Number Of Beneficiaries Age 75 to 84 |
480 |
Number Of Beneficiaries Age Greater 84 |
336 |
Number Of Female Beneficiaries |
712 |
Number Of Male Beneficiaries |
655 |
Number Of Non Hispanic White Beneficiaries |
1235 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1241 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
126 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5569 |