National Provider Identifier [NPI]: |
1508846676 |
Last Name Of The Provider |
CHANDOS |
First Name Of The Provider |
BRANDON |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
701 WHITE POND DRIVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
AKRON |
Zip Code Of The Provider |
44320 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
3437 |
Number Of Medicare Beneficiaries |
480 |
Total Submitted Charge Amount |
400149.96 |
Total Medicare Allowed Amount |
141787.07 |
Total Medicare Payment Amount |
106821.35 |
Total Medicare Standardized Payment Amount |
109301.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
2521 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
173405.96 |
Total Drug Medicare AllowedAmount |
53634.87 |
Total Drug Medicare PaymentAmount |
42049.49 |
Total Drug Medicare Standardized Payment Amount |
42049.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
916 |
Number Of Medicare Beneficiaries With Medical Services |
480 |
Total Medical Submitted Charge Amount |
226744 |
Total Medical Medicare Allowed Amount |
88152.2 |
Total Medical Medicare Payment Amount |
64771.86 |
Total Medical Medicare Standardized Payment Amount |
67251.66 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
161 |
Number Of Beneficiaries Age 65 to 74 |
137 |
Number Of Beneficiaries Age 75 to 84 |
120 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
257 |
Number Of Male Beneficiaries |
223 |
Number Of Non Hispanic White Beneficiaries |
436 |
Number Of Black or African American Beneficiaries |
32 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
293 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
187 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
25 |
Average HCC Risk Score Of Beneficiaries |
1.9176 |