National Provider Identifier [NPI]: |
1295938280 |
Last Name Of The Provider |
CHAUDHARY |
First Name Of The Provider |
ASAD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9394 BIG HORN BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ELK GROVE |
Zip Code Of The Provider |
957587977 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
6155 |
Number Of Medicare Beneficiaries |
515 |
Total Submitted Charge Amount |
505996.5 |
Total Medicare Allowed Amount |
152241.45 |
Total Medicare Payment Amount |
115482.23 |
Total Medicare Standardized Payment Amount |
113310.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
5206 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
98954 |
Total Drug Medicare AllowedAmount |
28624.71 |
Total Drug Medicare PaymentAmount |
22439.68 |
Total Drug Medicare Standardized Payment Amount |
22439.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
949 |
Number Of Medicare Beneficiaries With Medical Services |
515 |
Total Medical Submitted Charge Amount |
407042.5 |
Total Medical Medicare Allowed Amount |
123616.74 |
Total Medical Medicare Payment Amount |
93042.55 |
Total Medical Medicare Standardized Payment Amount |
90870.45 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
144 |
Number Of Beneficiaries Age 75 to 84 |
156 |
Number Of Beneficiaries Age Greater 84 |
112 |
Number Of Female Beneficiaries |
285 |
Number Of Male Beneficiaries |
230 |
Number Of Non Hispanic White Beneficiaries |
306 |
Number Of Black or African American Beneficiaries |
72 |
Number Of AsianPacific Islander Beneficiaries |
66 |
Number Of Hispanic Beneficiaries |
56 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
274 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
241 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
38 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
60 |
Average HCC Risk Score Of Beneficiaries |
1.9638 |