National Provider Identifier [NPI]: |
1215915483 |
Last Name Of The Provider |
MURUGAIAN |
First Name Of The Provider |
JAYALAKSHMI |
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 |
1753 W RIDGEWAY AVE |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
WATERLOO |
Zip Code Of The Provider |
507014544 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
16 |
Number Of Services |
474 |
Number Of Medicare Beneficiaries |
302 |
Total Submitted Charge Amount |
45304 |
Total Medicare Allowed Amount |
23298.07 |
Total Medicare Payment Amount |
14315.31 |
Total Medicare Standardized Payment Amount |
15837.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
97 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
1382 |
Total Drug Medicare AllowedAmount |
198.97 |
Total Drug Medicare PaymentAmount |
154.82 |
Total Drug Medicare Standardized Payment Amount |
154.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
10 |
Number Of Medical Services |
377 |
Number Of Medicare Beneficiaries With Medical Services |
302 |
Total Medical Submitted Charge Amount |
43922 |
Total Medical Medicare Allowed Amount |
23099.1 |
Total Medical Medicare Payment Amount |
14160.49 |
Total Medical Medicare Standardized Payment Amount |
15683.11 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
144 |
Number Of Beneficiaries Age 75 to 84 |
60 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
203 |
Number Of Male Beneficiaries |
99 |
Number Of Non Hispanic White Beneficiaries |
272 |
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 |
247 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.022 |