National Provider Identifier [NPI]: |
1699793596 |
Last Name Of The Provider |
BHAN |
First Name Of The Provider |
BHAVIKA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12330 METCALF AVE |
Street Address 2 Of The Provider |
SUITE 500 |
City Of The Provider |
OVERLAND PARK |
Zip Code Of The Provider |
662131324 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
1779 |
Number Of Medicare Beneficiaries |
401 |
Total Submitted Charge Amount |
199396 |
Total Medicare Allowed Amount |
98658.65 |
Total Medicare Payment Amount |
73838.68 |
Total Medicare Standardized Payment Amount |
76817.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
370 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
9032 |
Total Drug Medicare AllowedAmount |
7734.38 |
Total Drug Medicare PaymentAmount |
5967.7 |
Total Drug Medicare Standardized Payment Amount |
5967.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
1409 |
Number Of Medicare Beneficiaries With Medical Services |
401 |
Total Medical Submitted Charge Amount |
190364 |
Total Medical Medicare Allowed Amount |
90924.27 |
Total Medical Medicare Payment Amount |
67870.98 |
Total Medical Medicare Standardized Payment Amount |
70850.13 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
187 |
Number Of Beneficiaries Age 75 to 84 |
99 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
251 |
Number Of Male Beneficiaries |
150 |
Number Of Non Hispanic White Beneficiaries |
354 |
Number Of Black or African American Beneficiaries |
29 |
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 |
342 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
59 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
67 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7934 |