National Provider Identifier [NPI]: |
1447217393 |
Last Name Of The Provider |
KRISHNAN |
First Name Of The Provider |
HARINIDEVI |
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 |
3456 TRINDLE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CAMP HILL |
Zip Code Of The Provider |
170114468 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
4357 |
Number Of Medicare Beneficiaries |
579 |
Total Submitted Charge Amount |
489258.48 |
Total Medicare Allowed Amount |
262592.08 |
Total Medicare Payment Amount |
197634.55 |
Total Medicare Standardized Payment Amount |
202970.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1344 |
Number Of Medicare Beneficiaries With Drug Services |
88 |
Total Drug Submitted ChargeAmount |
46677.55 |
Total Drug Medicare AllowedAmount |
21365.74 |
Total Drug Medicare PaymentAmount |
17300.32 |
Total Drug Medicare Standardized Payment Amount |
17300.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
3013 |
Number Of Medicare Beneficiaries With Medical Services |
579 |
Total Medical Submitted Charge Amount |
442580.93 |
Total Medical Medicare Allowed Amount |
241226.34 |
Total Medical Medicare Payment Amount |
180334.23 |
Total Medical Medicare Standardized Payment Amount |
185670.27 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
116 |
Number Of Beneficiaries Age 75 to 84 |
148 |
Number Of Beneficiaries Age Greater 84 |
259 |
Number Of Female Beneficiaries |
378 |
Number Of Male Beneficiaries |
201 |
Number Of Non Hispanic White Beneficiaries |
552 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
491 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
88 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
22 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.9555 |