National Provider Identifier [NPI]: |
1447234000 |
Last Name Of The Provider |
SALUJA |
First Name Of The Provider |
ANITA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7125 MURRELL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MELBOURNE |
Zip Code Of The Provider |
329407999 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
125 |
Number Of Services |
8105 |
Number Of Medicare Beneficiaries |
1263 |
Total Submitted Charge Amount |
1564638 |
Total Medicare Allowed Amount |
628305.56 |
Total Medicare Payment Amount |
482330.71 |
Total Medicare Standardized Payment Amount |
479485.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
196 |
Number Of Medicare Beneficiaries With Drug Services |
147 |
Total Drug Submitted ChargeAmount |
42985 |
Total Drug Medicare AllowedAmount |
27564.09 |
Total Drug Medicare PaymentAmount |
21533.8 |
Total Drug Medicare Standardized Payment Amount |
21533.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
123 |
Number Of Medical Services |
7909 |
Number Of Medicare Beneficiaries With Medical Services |
1262 |
Total Medical Submitted Charge Amount |
1521653 |
Total Medical Medicare Allowed Amount |
600741.47 |
Total Medical Medicare Payment Amount |
460796.91 |
Total Medical Medicare Standardized Payment Amount |
457952.14 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
571 |
Number Of Beneficiaries Age 75 to 84 |
471 |
Number Of Beneficiaries Age Greater 84 |
189 |
Number Of Female Beneficiaries |
661 |
Number Of Male Beneficiaries |
602 |
Number Of Non Hispanic White Beneficiaries |
1231 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1247 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0343 |