National Provider Identifier [NPI]: |
1962460097 |
Last Name Of The Provider |
MAHALINGAM |
First Name Of The Provider |
JAYAREENA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2400 S AVENUE A |
Street Address 2 Of The Provider |
HOSPITALISTS DEPT |
City Of The Provider |
YUMA |
Zip Code Of The Provider |
853647127 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
16 |
Number Of Services |
3109 |
Number Of Medicare Beneficiaries |
1179 |
Total Submitted Charge Amount |
737355 |
Total Medicare Allowed Amount |
380634.21 |
Total Medicare Payment Amount |
295352.24 |
Total Medicare Standardized Payment Amount |
297463.55 |
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 |
16 |
Number Of Medical Services |
3109 |
Number Of Medicare Beneficiaries With Medical Services |
1179 |
Total Medical Submitted Charge Amount |
737355 |
Total Medical Medicare Allowed Amount |
380634.21 |
Total Medical Medicare Payment Amount |
295352.24 |
Total Medical Medicare Standardized Payment Amount |
297463.55 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
101 |
Number Of Beneficiaries Age 65 to 74 |
384 |
Number Of Beneficiaries Age 75 to 84 |
460 |
Number Of Beneficiaries Age Greater 84 |
234 |
Number Of Female Beneficiaries |
638 |
Number Of Male Beneficiaries |
541 |
Number Of Non Hispanic White Beneficiaries |
893 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
237 |
Number Of American Indian Alaska Native Beneficiaries |
18 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
944 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
235 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.9874 |