National Provider Identifier [NPI]: |
1689610990 |
Last Name Of The Provider |
NIJJAR |
First Name Of The Provider |
JAGRAJ |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1531 PLUMAS CT |
Street Address 2 Of The Provider |
STE A |
City Of The Provider |
YUBA CITY |
Zip Code Of The Provider |
959912960 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
30002 |
Number Of Medicare Beneficiaries |
854 |
Total Submitted Charge Amount |
1572164 |
Total Medicare Allowed Amount |
569160.41 |
Total Medicare Payment Amount |
443347.48 |
Total Medicare Standardized Payment Amount |
427236.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
24879 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
415860 |
Total Drug Medicare AllowedAmount |
46160.93 |
Total Drug Medicare PaymentAmount |
36162.4 |
Total Drug Medicare Standardized Payment Amount |
36162.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
5123 |
Number Of Medicare Beneficiaries With Medical Services |
854 |
Total Medical Submitted Charge Amount |
1156304 |
Total Medical Medicare Allowed Amount |
522999.48 |
Total Medical Medicare Payment Amount |
407185.08 |
Total Medical Medicare Standardized Payment Amount |
391073.73 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
198 |
Number Of Beneficiaries Age 65 to 74 |
261 |
Number Of Beneficiaries Age 75 to 84 |
257 |
Number Of Beneficiaries Age Greater 84 |
138 |
Number Of Female Beneficiaries |
423 |
Number Of Male Beneficiaries |
431 |
Number Of Non Hispanic White Beneficiaries |
624 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
94 |
Number Of Hispanic Beneficiaries |
104 |
Number Of American Indian Alaska Native Beneficiaries |
18 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
421 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
433 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.3631 |