National Provider Identifier [NPI]: |
1821275827 |
Last Name Of The Provider |
AHUJA |
First Name Of The Provider |
SARINA |
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 |
6565 N CHARLES ST STE 203 |
Street Address 2 Of The Provider |
|
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212045805 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
3291 |
Number Of Medicare Beneficiaries |
826 |
Total Submitted Charge Amount |
626222.96 |
Total Medicare Allowed Amount |
251288.32 |
Total Medicare Payment Amount |
191071.71 |
Total Medicare Standardized Payment Amount |
182819.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1108 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
31768.45 |
Total Drug Medicare AllowedAmount |
12708.24 |
Total Drug Medicare PaymentAmount |
9765.44 |
Total Drug Medicare Standardized Payment Amount |
9765.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
2183 |
Number Of Medicare Beneficiaries With Medical Services |
826 |
Total Medical Submitted Charge Amount |
594454.51 |
Total Medical Medicare Allowed Amount |
238580.08 |
Total Medical Medicare Payment Amount |
181306.27 |
Total Medical Medicare Standardized Payment Amount |
173054.17 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
189 |
Number Of Beneficiaries Age 65 to 74 |
277 |
Number Of Beneficiaries Age 75 to 84 |
240 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
430 |
Number Of Male Beneficiaries |
396 |
Number Of Non Hispanic White Beneficiaries |
521 |
Number Of Black or African American Beneficiaries |
260 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
617 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
209 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
60 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
69 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
4.6319 |