National Provider Identifier [NPI]: |
1033117817 |
Last Name Of The Provider |
BOORGU |
First Name Of The Provider |
RAJESH |
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 |
422 E DR HICKS BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
FLORENCE |
Zip Code Of The Provider |
356305763 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
93 |
Number Of Services |
25047 |
Number Of Medicare Beneficiaries |
1543 |
Total Submitted Charge Amount |
1123397 |
Total Medicare Allowed Amount |
703434.66 |
Total Medicare Payment Amount |
561312.8 |
Total Medicare Standardized Payment Amount |
535680.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
11974 |
Number Of Medicare Beneficiaries With Drug Services |
84 |
Total Drug Submitted ChargeAmount |
45491 |
Total Drug Medicare AllowedAmount |
23146.7 |
Total Drug Medicare PaymentAmount |
18254.13 |
Total Drug Medicare Standardized Payment Amount |
18254.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
13073 |
Number Of Medicare Beneficiaries With Medical Services |
1543 |
Total Medical Submitted Charge Amount |
1077906 |
Total Medical Medicare Allowed Amount |
680287.96 |
Total Medical Medicare Payment Amount |
543058.67 |
Total Medical Medicare Standardized Payment Amount |
517426.17 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
329 |
Number Of Beneficiaries Age 65 to 74 |
535 |
Number Of Beneficiaries Age 75 to 84 |
509 |
Number Of Beneficiaries Age Greater 84 |
170 |
Number Of Female Beneficiaries |
830 |
Number Of Male Beneficiaries |
713 |
Number Of Non Hispanic White Beneficiaries |
1208 |
Number Of Black or African American Beneficiaries |
314 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1048 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
495 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.6151 |