National Provider Identifier [NPI]: |
1114010436 |
Last Name Of The Provider |
NIRANJAN |
First Name Of The Provider |
BOOKANAKERE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D., M.P.H. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5920 MCINTYRE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
GOLDEN |
Zip Code Of The Provider |
804037445 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Geriatric Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
1376 |
Number Of Medicare Beneficiaries |
383 |
Total Submitted Charge Amount |
260068 |
Total Medicare Allowed Amount |
145427.46 |
Total Medicare Payment Amount |
111983.25 |
Total Medicare Standardized Payment Amount |
112258.27 |
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 |
21 |
Number Of Medical Services |
1376 |
Number Of Medicare Beneficiaries With Medical Services |
383 |
Total Medical Submitted Charge Amount |
260068 |
Total Medical Medicare Allowed Amount |
145427.46 |
Total Medical Medicare Payment Amount |
111983.25 |
Total Medical Medicare Standardized Payment Amount |
112258.27 |
Average Age Of Beneficiaries |
82 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
56 |
Number Of Beneficiaries Age 75 to 84 |
116 |
Number Of Beneficiaries Age Greater 84 |
184 |
Number Of Female Beneficiaries |
249 |
Number Of Male Beneficiaries |
134 |
Number Of Non Hispanic White Beneficiaries |
334 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
284 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
99 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
67 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
52 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
28 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.1785 |