National Provider Identifier [NPI]: |
1699724294 |
Last Name Of The Provider |
MALHOTRA |
First Name Of The Provider |
AMIT |
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 |
391 SOUTHCREST CIR |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SOUTHAVEN |
Zip Code Of The Provider |
386716730 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
141 |
Number Of Services |
10634 |
Number Of Medicare Beneficiaries |
1919 |
Total Submitted Charge Amount |
5715544 |
Total Medicare Allowed Amount |
868245.43 |
Total Medicare Payment Amount |
663160.96 |
Total Medicare Standardized Payment Amount |
722639.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
392 |
Number Of Medicare Beneficiaries With Drug Services |
310 |
Total Drug Submitted ChargeAmount |
56144 |
Total Drug Medicare AllowedAmount |
17926.95 |
Total Drug Medicare PaymentAmount |
13700.32 |
Total Drug Medicare Standardized Payment Amount |
13700.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
136 |
Number Of Medical Services |
10242 |
Number Of Medicare Beneficiaries With Medical Services |
1913 |
Total Medical Submitted Charge Amount |
5659400 |
Total Medical Medicare Allowed Amount |
850318.48 |
Total Medical Medicare Payment Amount |
649460.64 |
Total Medical Medicare Standardized Payment Amount |
708938.71 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
340 |
Number Of Beneficiaries Age 65 to 74 |
810 |
Number Of Beneficiaries Age 75 to 84 |
552 |
Number Of Beneficiaries Age Greater 84 |
217 |
Number Of Female Beneficiaries |
1033 |
Number Of Male Beneficiaries |
886 |
Number Of Non Hispanic White Beneficiaries |
1376 |
Number Of Black or African American Beneficiaries |
521 |
Number Of AsianPacific Islander Beneficiaries |
11 |
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 |
1368 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
551 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7128 |