National Provider Identifier [NPI]: |
1841365913 |
Last Name Of The Provider |
RAJUR |
First Name Of The Provider |
KRUPA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
38 TYLER ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
NASHUA |
Zip Code Of The Provider |
030602943 |
State Code Of The Provider |
NH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
10188 |
Number Of Medicare Beneficiaries |
611 |
Total Submitted Charge Amount |
573401 |
Total Medicare Allowed Amount |
289856.42 |
Total Medicare Payment Amount |
222202.35 |
Total Medicare Standardized Payment Amount |
221036.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
8206 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
78384 |
Total Drug Medicare AllowedAmount |
61193.73 |
Total Drug Medicare PaymentAmount |
47979.43 |
Total Drug Medicare Standardized Payment Amount |
47979.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
1982 |
Number Of Medicare Beneficiaries With Medical Services |
611 |
Total Medical Submitted Charge Amount |
495017 |
Total Medical Medicare Allowed Amount |
228662.69 |
Total Medical Medicare Payment Amount |
174222.92 |
Total Medical Medicare Standardized Payment Amount |
173057.27 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
227 |
Number Of Beneficiaries Age 75 to 84 |
209 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
302 |
Number Of Male Beneficiaries |
309 |
Number Of Non Hispanic White Beneficiaries |
566 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
503 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
108 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.7143 |