National Provider Identifier [NPI]: |
1174590251 |
Last Name Of The Provider |
MAHAJAN |
First Name Of The Provider |
NATASHA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 W FOREST AVE |
Street Address 2 Of The Provider |
STE 300 |
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
383013937 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
126 |
Number Of Services |
6863 |
Number Of Medicare Beneficiaries |
812 |
Total Submitted Charge Amount |
643056.5 |
Total Medicare Allowed Amount |
305356.14 |
Total Medicare Payment Amount |
235580.26 |
Total Medicare Standardized Payment Amount |
249423.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
1136 |
Number Of Medicare Beneficiaries With Drug Services |
85 |
Total Drug Submitted ChargeAmount |
16114.5 |
Total Drug Medicare AllowedAmount |
4876.61 |
Total Drug Medicare PaymentAmount |
4046.92 |
Total Drug Medicare Standardized Payment Amount |
4046.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
5727 |
Number Of Medicare Beneficiaries With Medical Services |
812 |
Total Medical Submitted Charge Amount |
626942 |
Total Medical Medicare Allowed Amount |
300479.53 |
Total Medical Medicare Payment Amount |
231533.34 |
Total Medical Medicare Standardized Payment Amount |
245376.55 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
110 |
Number Of Beneficiaries Age 65 to 74 |
245 |
Number Of Beneficiaries Age 75 to 84 |
281 |
Number Of Beneficiaries Age Greater 84 |
176 |
Number Of Female Beneficiaries |
529 |
Number Of Male Beneficiaries |
283 |
Number Of Non Hispanic White Beneficiaries |
632 |
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 |
602 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
210 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
17 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8535 |