National Provider Identifier [NPI]: |
1013903210 |
Last Name Of The Provider |
NAGARKAR |
First Name Of The Provider |
JYOTI |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
80 ERDMAN WAY |
Street Address 2 Of The Provider |
SUITE 207 |
City Of The Provider |
LEOMINSTER |
Zip Code Of The Provider |
014531840 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
1235 |
Number Of Medicare Beneficiaries |
318 |
Total Submitted Charge Amount |
263686 |
Total Medicare Allowed Amount |
99827.96 |
Total Medicare Payment Amount |
75499.56 |
Total Medicare Standardized Payment Amount |
73569.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
109 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
6407 |
Total Drug Medicare AllowedAmount |
3233.21 |
Total Drug Medicare PaymentAmount |
3068.1 |
Total Drug Medicare Standardized Payment Amount |
3068.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
1126 |
Number Of Medicare Beneficiaries With Medical Services |
318 |
Total Medical Submitted Charge Amount |
257279 |
Total Medical Medicare Allowed Amount |
96594.75 |
Total Medical Medicare Payment Amount |
72431.46 |
Total Medical Medicare Standardized Payment Amount |
70501.86 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
119 |
Number Of Beneficiaries Age 65 to 74 |
107 |
Number Of Beneficiaries Age 75 to 84 |
61 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
240 |
Number Of Male Beneficiaries |
78 |
Number Of Non Hispanic White Beneficiaries |
234 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
66 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
154 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
164 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1814 |