National Provider Identifier [NPI]: |
1437100898 |
Last Name Of The Provider |
KRISHNA |
First Name Of The Provider |
ALOK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13414 MEDICAL COMPLEX DR STE 7 |
Street Address 2 Of The Provider |
|
City Of The Provider |
TOMBALL |
Zip Code Of The Provider |
773753333 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
2821 |
Number Of Medicare Beneficiaries |
655 |
Total Submitted Charge Amount |
498647 |
Total Medicare Allowed Amount |
281476.28 |
Total Medicare Payment Amount |
215495.97 |
Total Medicare Standardized Payment Amount |
211475.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
25 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
969 |
Total Drug Medicare AllowedAmount |
126.64 |
Total Drug Medicare PaymentAmount |
117.54 |
Total Drug Medicare Standardized Payment Amount |
117.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
2796 |
Number Of Medicare Beneficiaries With Medical Services |
655 |
Total Medical Submitted Charge Amount |
497678 |
Total Medical Medicare Allowed Amount |
281349.64 |
Total Medical Medicare Payment Amount |
215378.43 |
Total Medical Medicare Standardized Payment Amount |
211358.2 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
162 |
Number Of Beneficiaries Age 65 to 74 |
182 |
Number Of Beneficiaries Age 75 to 84 |
173 |
Number Of Beneficiaries Age Greater 84 |
138 |
Number Of Female Beneficiaries |
352 |
Number Of Male Beneficiaries |
303 |
Number Of Non Hispanic White Beneficiaries |
468 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
51 |
Number Of Hispanic Beneficiaries |
72 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
289 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
366 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.3501 |