National Provider Identifier [NPI]: |
1518934736 |
Last Name Of The Provider |
BHATTI |
First Name Of The Provider |
AHSAN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1457 WHITE OAK DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHASKA |
Zip Code Of The Provider |
553182525 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
119 |
Number Of Services |
4954 |
Number Of Medicare Beneficiaries |
483 |
Total Submitted Charge Amount |
1100337.45 |
Total Medicare Allowed Amount |
273306.63 |
Total Medicare Payment Amount |
217138.74 |
Total Medicare Standardized Payment Amount |
223399.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
3058 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
134387.7 |
Total Drug Medicare AllowedAmount |
96072.38 |
Total Drug Medicare PaymentAmount |
75370.87 |
Total Drug Medicare Standardized Payment Amount |
75370.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
1896 |
Number Of Medicare Beneficiaries With Medical Services |
483 |
Total Medical Submitted Charge Amount |
965949.75 |
Total Medical Medicare Allowed Amount |
177234.25 |
Total Medical Medicare Payment Amount |
141767.87 |
Total Medical Medicare Standardized Payment Amount |
148029.02 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
118 |
Number Of Beneficiaries Age 65 to 74 |
174 |
Number Of Beneficiaries Age 75 to 84 |
145 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
293 |
Number Of Male Beneficiaries |
190 |
Number Of Non Hispanic White Beneficiaries |
444 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
360 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
123 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0698 |