National Provider Identifier [NPI]: |
1639123573 |
Last Name Of The Provider |
MOHANDAS |
First Name Of The Provider |
ARJUN |
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 |
209 S CHURCH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LOCKHART |
Zip Code Of The Provider |
786442713 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
3054 |
Number Of Medicare Beneficiaries |
651 |
Total Submitted Charge Amount |
537839.2 |
Total Medicare Allowed Amount |
176391.25 |
Total Medicare Payment Amount |
126466.34 |
Total Medicare Standardized Payment Amount |
134172.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
224 |
Number Of Medicare Beneficiaries With Drug Services |
185 |
Total Drug Submitted ChargeAmount |
11290.2 |
Total Drug Medicare AllowedAmount |
3567.28 |
Total Drug Medicare PaymentAmount |
3440.3 |
Total Drug Medicare Standardized Payment Amount |
3440.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
2830 |
Number Of Medicare Beneficiaries With Medical Services |
651 |
Total Medical Submitted Charge Amount |
526549 |
Total Medical Medicare Allowed Amount |
172823.97 |
Total Medical Medicare Payment Amount |
123026.04 |
Total Medical Medicare Standardized Payment Amount |
130732.52 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
230 |
Number Of Beneficiaries Age 75 to 84 |
197 |
Number Of Beneficiaries Age Greater 84 |
143 |
Number Of Female Beneficiaries |
348 |
Number Of Male Beneficiaries |
303 |
Number Of Non Hispanic White Beneficiaries |
431 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
168 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
435 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
216 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5779 |