National Provider Identifier [NPI]: |
1578510087 |
Last Name Of The Provider |
NAGARAJ |
First Name Of The Provider |
HOSAKOTE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7440 SO. 91ST STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
LINCOLN |
Zip Code Of The Provider |
685269797 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
101 |
Number Of Services |
5528 |
Number Of Medicare Beneficiaries |
2065 |
Total Submitted Charge Amount |
1124615 |
Total Medicare Allowed Amount |
431154.22 |
Total Medicare Payment Amount |
333757.11 |
Total Medicare Standardized Payment Amount |
362673.81 |
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 |
101 |
Number Of Medical Services |
5528 |
Number Of Medicare Beneficiaries With Medical Services |
2065 |
Total Medical Submitted Charge Amount |
1124615 |
Total Medical Medicare Allowed Amount |
431154.22 |
Total Medical Medicare Payment Amount |
333757.11 |
Total Medical Medicare Standardized Payment Amount |
362673.81 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
193 |
Number Of Beneficiaries Age 65 to 74 |
705 |
Number Of Beneficiaries Age 75 to 84 |
720 |
Number Of Beneficiaries Age Greater 84 |
447 |
Number Of Female Beneficiaries |
1038 |
Number Of Male Beneficiaries |
1027 |
Number Of Non Hispanic White Beneficiaries |
1984 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1703 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
362 |
Percent Of With Atrial Fibrillation |
37 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6639 |