National Provider Identifier [NPI]: |
1114904349 |
Last Name Of The Provider |
JUNEJA |
First Name Of The Provider |
GIRISH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
20095 GILBERT RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BIG RAPIDS |
Zip Code Of The Provider |
493072365 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
6565 |
Number Of Medicare Beneficiaries |
611 |
Total Submitted Charge Amount |
2495666.68 |
Total Medicare Allowed Amount |
489815.37 |
Total Medicare Payment Amount |
365762.82 |
Total Medicare Standardized Payment Amount |
334905.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2073 |
Number Of Medicare Beneficiaries With Drug Services |
122 |
Total Drug Submitted ChargeAmount |
19202.34 |
Total Drug Medicare AllowedAmount |
2260.01 |
Total Drug Medicare PaymentAmount |
1723.7 |
Total Drug Medicare Standardized Payment Amount |
1723.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
4492 |
Number Of Medicare Beneficiaries With Medical Services |
611 |
Total Medical Submitted Charge Amount |
2476464.34 |
Total Medical Medicare Allowed Amount |
487555.36 |
Total Medical Medicare Payment Amount |
364039.12 |
Total Medical Medicare Standardized Payment Amount |
333181.79 |
Average Age Of Beneficiaries |
62 |
Number Of Beneficiaries Age Less65 |
327 |
Number Of Beneficiaries Age 65 to 74 |
161 |
Number Of Beneficiaries Age 75 to 84 |
92 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
375 |
Number Of Male Beneficiaries |
236 |
Number Of Non Hispanic White Beneficiaries |
545 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
337 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
274 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2398 |