National Provider Identifier [NPI]: |
1811902505 |
Last Name Of The Provider |
GOPINATH |
First Name Of The Provider |
ARASU |
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 |
650 E 4500 S |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
SALT LAKE CITY |
Zip Code Of The Provider |
841074520 |
State Code Of The Provider |
UT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
1374 |
Number Of Medicare Beneficiaries |
348 |
Total Submitted Charge Amount |
530040.81 |
Total Medicare Allowed Amount |
207203.56 |
Total Medicare Payment Amount |
157046.42 |
Total Medicare Standardized Payment Amount |
161703.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
139 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
3495 |
Total Drug Medicare AllowedAmount |
1622.44 |
Total Drug Medicare PaymentAmount |
1087.99 |
Total Drug Medicare Standardized Payment Amount |
1087.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
1235 |
Number Of Medicare Beneficiaries With Medical Services |
348 |
Total Medical Submitted Charge Amount |
526545.81 |
Total Medical Medicare Allowed Amount |
205581.12 |
Total Medical Medicare Payment Amount |
155958.43 |
Total Medical Medicare Standardized Payment Amount |
160615.31 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
121 |
Number Of Beneficiaries Age 65 to 74 |
125 |
Number Of Beneficiaries Age 75 to 84 |
85 |
Number Of Beneficiaries Age Greater 84 |
17 |
Number Of Female Beneficiaries |
144 |
Number Of Male Beneficiaries |
204 |
Number Of Non Hispanic White Beneficiaries |
259 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
32 |
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
255 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
93 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
65 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
4.8042 |