National Provider Identifier [NPI]: |
1457452260 |
Last Name Of The Provider |
CHAUHAN |
First Name Of The Provider |
AJIT |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1045 MAIN ST |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
DANVILLE |
Zip Code Of The Provider |
245411800 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
17840 |
Number Of Medicare Beneficiaries |
637 |
Total Submitted Charge Amount |
1152136.28 |
Total Medicare Allowed Amount |
706348.24 |
Total Medicare Payment Amount |
549990.73 |
Total Medicare Standardized Payment Amount |
554765.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
450 |
Number Of Medicare Beneficiaries With Drug Services |
194 |
Total Drug Submitted ChargeAmount |
62448 |
Total Drug Medicare AllowedAmount |
12927.18 |
Total Drug Medicare PaymentAmount |
10406.27 |
Total Drug Medicare Standardized Payment Amount |
10406.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
17390 |
Number Of Medicare Beneficiaries With Medical Services |
637 |
Total Medical Submitted Charge Amount |
1089688.28 |
Total Medical Medicare Allowed Amount |
693421.06 |
Total Medical Medicare Payment Amount |
539584.46 |
Total Medical Medicare Standardized Payment Amount |
544359.52 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
153 |
Number Of Beneficiaries Age 65 to 74 |
220 |
Number Of Beneficiaries Age 75 to 84 |
164 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
367 |
Number Of Male Beneficiaries |
270 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
319 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
331 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
306 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.7709 |