National Provider Identifier [NPI]: |
1518096189 |
Last Name Of The Provider |
NAIR |
First Name Of The Provider |
GIJU |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
910 W 5TH AVE |
Street Address 2 Of The Provider |
SUITE 801 |
City Of The Provider |
SPOKANE |
Zip Code Of The Provider |
992042966 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
111 |
Number Of Services |
16395 |
Number Of Medicare Beneficiaries |
435 |
Total Submitted Charge Amount |
715159.44 |
Total Medicare Allowed Amount |
243190 |
Total Medicare Payment Amount |
182064.93 |
Total Medicare Standardized Payment Amount |
186906.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
14294 |
Number Of Medicare Beneficiaries With Drug Services |
96 |
Total Drug Submitted ChargeAmount |
110917 |
Total Drug Medicare AllowedAmount |
45015.89 |
Total Drug Medicare PaymentAmount |
35000.18 |
Total Drug Medicare Standardized Payment Amount |
35000.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
105 |
Number Of Medical Services |
2101 |
Number Of Medicare Beneficiaries With Medical Services |
435 |
Total Medical Submitted Charge Amount |
604242.44 |
Total Medical Medicare Allowed Amount |
198174.11 |
Total Medical Medicare Payment Amount |
147064.75 |
Total Medical Medicare Standardized Payment Amount |
151906.35 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
191 |
Number Of Beneficiaries Age 75 to 84 |
127 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
137 |
Number Of Male Beneficiaries |
298 |
Number Of Non Hispanic White Beneficiaries |
403 |
Number Of Black or African American Beneficiaries |
|
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 |
363 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
72 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2977 |