National Provider Identifier [NPI]: |
1780608901 |
Last Name Of The Provider |
ATRAY |
First Name Of The Provider |
NAVEEN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1111 EXPOSITION BLVD |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958154314 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
38263 |
Number Of Medicare Beneficiaries |
562 |
Total Submitted Charge Amount |
1966649.19 |
Total Medicare Allowed Amount |
888679.15 |
Total Medicare Payment Amount |
688066.52 |
Total Medicare Standardized Payment Amount |
647096.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
36159 |
Number Of Medicare Beneficiaries With Drug Services |
265 |
Total Drug Submitted ChargeAmount |
62213.93 |
Total Drug Medicare AllowedAmount |
28783.76 |
Total Drug Medicare PaymentAmount |
22245.39 |
Total Drug Medicare Standardized Payment Amount |
22245.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
2104 |
Number Of Medicare Beneficiaries With Medical Services |
562 |
Total Medical Submitted Charge Amount |
1904435.26 |
Total Medical Medicare Allowed Amount |
859895.39 |
Total Medical Medicare Payment Amount |
665821.13 |
Total Medical Medicare Standardized Payment Amount |
624851.51 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
206 |
Number Of Beneficiaries Age 65 to 74 |
176 |
Number Of Beneficiaries Age 75 to 84 |
120 |
Number Of Beneficiaries Age Greater 84 |
60 |
Number Of Female Beneficiaries |
268 |
Number Of Male Beneficiaries |
294 |
Number Of Non Hispanic White Beneficiaries |
213 |
Number Of Black or African American Beneficiaries |
123 |
Number Of AsianPacific Islander Beneficiaries |
115 |
Number Of Hispanic Beneficiaries |
94 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
209 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
353 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
70 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
5.6809 |