National Provider Identifier [NPI]: |
1790815926 |
Last Name Of The Provider |
BANERJEE |
First Name Of The Provider |
SATYAKI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D.,FASN |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3821 MASTHEAD ST NE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALBUQUERQUE |
Zip Code Of The Provider |
871094679 |
State Code Of The Provider |
NM |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
1871 |
Number Of Medicare Beneficiaries |
259 |
Total Submitted Charge Amount |
1708199.42 |
Total Medicare Allowed Amount |
262598 |
Total Medicare Payment Amount |
205646.7 |
Total Medicare Standardized Payment Amount |
222307.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1158 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
1950 |
Total Drug Medicare AllowedAmount |
705.68 |
Total Drug Medicare PaymentAmount |
541.5 |
Total Drug Medicare Standardized Payment Amount |
541.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
713 |
Number Of Medicare Beneficiaries With Medical Services |
259 |
Total Medical Submitted Charge Amount |
1706249.42 |
Total Medical Medicare Allowed Amount |
261892.32 |
Total Medical Medicare Payment Amount |
205105.2 |
Total Medical Medicare Standardized Payment Amount |
221765.8 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
94 |
Number Of Beneficiaries Age 65 to 74 |
59 |
Number Of Beneficiaries Age 75 to 84 |
75 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
132 |
Number Of Male Beneficiaries |
127 |
Number Of Non Hispanic White Beneficiaries |
166 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
128 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
69 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
4.1446 |