National Provider Identifier [NPI]: |
1619937539 |
Last Name Of The Provider |
SARKAR |
First Name Of The Provider |
RAJABRATA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D., PH.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
22 S GREENE ST |
Street Address 2 Of The Provider |
S10B00 |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212011544 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Vascular Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
2986 |
Number Of Medicare Beneficiaries |
1693 |
Total Submitted Charge Amount |
878405 |
Total Medicare Allowed Amount |
277114.95 |
Total Medicare Payment Amount |
212111.88 |
Total Medicare Standardized Payment Amount |
200427.56 |
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 |
113 |
Number Of Medical Services |
2986 |
Number Of Medicare Beneficiaries With Medical Services |
1693 |
Total Medical Submitted Charge Amount |
878405 |
Total Medical Medicare Allowed Amount |
277114.95 |
Total Medical Medicare Payment Amount |
212111.88 |
Total Medical Medicare Standardized Payment Amount |
200427.56 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
502 |
Number Of Beneficiaries Age 65 to 74 |
634 |
Number Of Beneficiaries Age 75 to 84 |
415 |
Number Of Beneficiaries Age Greater 84 |
142 |
Number Of Female Beneficiaries |
773 |
Number Of Male Beneficiaries |
920 |
Number Of Non Hispanic White Beneficiaries |
948 |
Number Of Black or African American Beneficiaries |
659 |
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
1143 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
550 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
63 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.7669 |