National Provider Identifier [NPI]: |
1578558748 |
Last Name Of The Provider |
SARVAIYA |
First Name Of The Provider |
RAMESH |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. ANESTHESIOLOGIS |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
17 W RED BANK AVE |
Street Address 2 Of The Provider |
SUITE 302 |
City Of The Provider |
WOODBURY |
Zip Code Of The Provider |
080961630 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
6 |
Number Of Services |
1082 |
Number Of Medicare Beneficiaries |
430 |
Total Submitted Charge Amount |
1206541.5 |
Total Medicare Allowed Amount |
195654.43 |
Total Medicare Payment Amount |
153393.12 |
Total Medicare Standardized Payment Amount |
143935.2 |
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 |
6 |
Number Of Medical Services |
1082 |
Number Of Medicare Beneficiaries With Medical Services |
430 |
Total Medical Submitted Charge Amount |
1206541.5 |
Total Medical Medicare Allowed Amount |
195654.43 |
Total Medical Medicare Payment Amount |
153393.12 |
Total Medical Medicare Standardized Payment Amount |
143935.2 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
214 |
Number Of Beneficiaries Age 65 to 74 |
116 |
Number Of Beneficiaries Age 75 to 84 |
78 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
205 |
Number Of Male Beneficiaries |
225 |
Number Of Non Hispanic White Beneficiaries |
37 |
Number Of Black or African American Beneficiaries |
322 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
213 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
217 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
66 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
74 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
24 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
8.3507 |