National Provider Identifier [NPI]: |
1134176332 |
Last Name Of The Provider |
NARAHARI |
First Name Of The Provider |
UDAY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
430 PENNSYLVANIA AVE |
Street Address 2 Of The Provider |
110 |
City Of The Provider |
GLEN ELLYN |
Zip Code Of The Provider |
601374464 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
9982 |
Number Of Medicare Beneficiaries |
1576 |
Total Submitted Charge Amount |
1527583 |
Total Medicare Allowed Amount |
294717.6 |
Total Medicare Payment Amount |
220989.25 |
Total Medicare Standardized Payment Amount |
211927.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
7640 |
Number Of Medicare Beneficiaries With Drug Services |
89 |
Total Drug Submitted ChargeAmount |
15468 |
Total Drug Medicare AllowedAmount |
2993.44 |
Total Drug Medicare PaymentAmount |
2310.69 |
Total Drug Medicare Standardized Payment Amount |
2310.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
106 |
Number Of Medical Services |
2342 |
Number Of Medicare Beneficiaries With Medical Services |
1575 |
Total Medical Submitted Charge Amount |
1512115 |
Total Medical Medicare Allowed Amount |
291724.16 |
Total Medical Medicare Payment Amount |
218678.56 |
Total Medical Medicare Standardized Payment Amount |
209617.04 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
805 |
Number Of Beneficiaries Age 75 to 84 |
473 |
Number Of Beneficiaries Age Greater 84 |
160 |
Number Of Female Beneficiaries |
943 |
Number Of Male Beneficiaries |
633 |
Number Of Non Hispanic White Beneficiaries |
1383 |
Number Of Black or African American Beneficiaries |
50 |
Number Of AsianPacific Islander Beneficiaries |
57 |
Number Of Hispanic Beneficiaries |
59 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1474 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
102 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9965 |