National Provider Identifier [NPI]: |
1851592802 |
Last Name Of The Provider |
BHATTARAI |
First Name Of The Provider |
BIRENDRA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
18550 US HIGHWAY 441 |
Street Address 2 Of The Provider |
|
City Of The Provider |
MOUNT DORA |
Zip Code Of The Provider |
327576751 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
10758 |
Number Of Medicare Beneficiaries |
1262 |
Total Submitted Charge Amount |
1064135 |
Total Medicare Allowed Amount |
731120.84 |
Total Medicare Payment Amount |
567181.48 |
Total Medicare Standardized Payment Amount |
576589.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
697 |
Number Of Medicare Beneficiaries With Drug Services |
190 |
Total Drug Submitted ChargeAmount |
20014 |
Total Drug Medicare AllowedAmount |
11703.6 |
Total Drug Medicare PaymentAmount |
10684.26 |
Total Drug Medicare Standardized Payment Amount |
10684.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
10061 |
Number Of Medicare Beneficiaries With Medical Services |
1261 |
Total Medical Submitted Charge Amount |
1044121 |
Total Medical Medicare Allowed Amount |
719417.24 |
Total Medical Medicare Payment Amount |
556497.22 |
Total Medical Medicare Standardized Payment Amount |
565905.03 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
121 |
Number Of Beneficiaries Age 65 to 74 |
417 |
Number Of Beneficiaries Age 75 to 84 |
428 |
Number Of Beneficiaries Age Greater 84 |
296 |
Number Of Female Beneficiaries |
729 |
Number Of Male Beneficiaries |
533 |
Number Of Non Hispanic White Beneficiaries |
1144 |
Number Of Black or African American Beneficiaries |
71 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1003 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
259 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.8995 |