National Provider Identifier [NPI]: |
1164429510 |
Last Name Of The Provider |
GUPTA |
First Name Of The Provider |
ALOK |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7350 HERITAGE VILLAGE PLAZA |
Street Address 2 Of The Provider |
SUITE 101 ARJUN MEDICAL CENTER PC |
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
20155 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
5719 |
Number Of Medicare Beneficiaries |
641 |
Total Submitted Charge Amount |
482206.17 |
Total Medicare Allowed Amount |
295384.94 |
Total Medicare Payment Amount |
218501.77 |
Total Medicare Standardized Payment Amount |
222890.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
430 |
Number Of Medicare Beneficiaries With Drug Services |
371 |
Total Drug Submitted ChargeAmount |
13315 |
Total Drug Medicare AllowedAmount |
8796.72 |
Total Drug Medicare PaymentAmount |
8501.63 |
Total Drug Medicare Standardized Payment Amount |
8501.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
5289 |
Number Of Medicare Beneficiaries With Medical Services |
641 |
Total Medical Submitted Charge Amount |
468891.17 |
Total Medical Medicare Allowed Amount |
286588.22 |
Total Medical Medicare Payment Amount |
210000.14 |
Total Medical Medicare Standardized Payment Amount |
214388.76 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
293 |
Number Of Beneficiaries Age 75 to 84 |
241 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
346 |
Number Of Male Beneficiaries |
295 |
Number Of Non Hispanic White Beneficiaries |
538 |
Number Of Black or African American Beneficiaries |
37 |
Number Of AsianPacific Islander Beneficiaries |
37 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
594 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9152 |