National Provider Identifier [NPI]: |
1518035369 |
Last Name Of The Provider |
KURRA |
First Name Of The Provider |
GEETA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 E 89TH AVE |
Street Address 2 Of The Provider |
SUITE 2A |
City Of The Provider |
MERRILLVILLE |
Zip Code Of The Provider |
464107318 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
166429 |
Number Of Medicare Beneficiaries |
526 |
Total Submitted Charge Amount |
2073771.64 |
Total Medicare Allowed Amount |
1710686.35 |
Total Medicare Payment Amount |
1336362.66 |
Total Medicare Standardized Payment Amount |
1353992.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
48 |
Number Of Drug Services |
155473 |
Number Of Medicare Beneficiaries With Drug Services |
147 |
Total Drug Submitted ChargeAmount |
1290309.14 |
Total Drug Medicare AllowedAmount |
1171176.18 |
Total Drug Medicare PaymentAmount |
916334.79 |
Total Drug Medicare Standardized Payment Amount |
916334.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
10956 |
Number Of Medicare Beneficiaries With Medical Services |
526 |
Total Medical Submitted Charge Amount |
783462.5 |
Total Medical Medicare Allowed Amount |
539510.17 |
Total Medical Medicare Payment Amount |
420027.87 |
Total Medical Medicare Standardized Payment Amount |
437657.29 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
186 |
Number Of Beneficiaries Age 75 to 84 |
159 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
308 |
Number Of Male Beneficiaries |
218 |
Number Of Non Hispanic White Beneficiaries |
287 |
Number Of Black or African American Beneficiaries |
205 |
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 |
349 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
177 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
42 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
56 |
Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.8219 |