National Provider Identifier [NPI]: |
1275723793 |
Last Name Of The Provider |
GUNASEKARAN |
First Name Of The Provider |
MADHUMATHI |
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 |
4735 OGLETOWN-STANTON ROAD |
Street Address 2 Of The Provider |
HEALTHCARE CENTER AT MAP 2, SUITE 1250 |
City Of The Provider |
NEWARK |
Zip Code Of The Provider |
197132074 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
3767 |
Number Of Medicare Beneficiaries |
496 |
Total Submitted Charge Amount |
434342.04 |
Total Medicare Allowed Amount |
259919.44 |
Total Medicare Payment Amount |
191190.08 |
Total Medicare Standardized Payment Amount |
178857.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
35 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
2697 |
Total Drug Medicare AllowedAmount |
1512.07 |
Total Drug Medicare PaymentAmount |
1477.72 |
Total Drug Medicare Standardized Payment Amount |
1477.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
3732 |
Number Of Medicare Beneficiaries With Medical Services |
496 |
Total Medical Submitted Charge Amount |
431645.04 |
Total Medical Medicare Allowed Amount |
258407.37 |
Total Medical Medicare Payment Amount |
189712.36 |
Total Medical Medicare Standardized Payment Amount |
177379.8 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
209 |
Number Of Beneficiaries Age 65 to 74 |
179 |
Number Of Beneficiaries Age 75 to 84 |
85 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
271 |
Number Of Male Beneficiaries |
225 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
201 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
262 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
153 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
343 |
Percent Of With Atrial Fibrillation |
3 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
23 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
2 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
21 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.1818 |