National Provider Identifier [NPI]: |
1518959386 |
Last Name Of The Provider |
SAMY |
First Name Of The Provider |
CHANDER |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3130 SW 32ND AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344744445 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
14769 |
Number Of Medicare Beneficiaries |
1587 |
Total Submitted Charge Amount |
5713924 |
Total Medicare Allowed Amount |
3686391.85 |
Total Medicare Payment Amount |
2847055.6 |
Total Medicare Standardized Payment Amount |
2850449.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
4672 |
Number Of Medicare Beneficiaries With Drug Services |
350 |
Total Drug Submitted ChargeAmount |
4393756 |
Total Drug Medicare AllowedAmount |
2867760.73 |
Total Drug Medicare PaymentAmount |
2247701.95 |
Total Drug Medicare Standardized Payment Amount |
2247701.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
10097 |
Number Of Medicare Beneficiaries With Medical Services |
1587 |
Total Medical Submitted Charge Amount |
1320168 |
Total Medical Medicare Allowed Amount |
818631.12 |
Total Medical Medicare Payment Amount |
599353.65 |
Total Medical Medicare Standardized Payment Amount |
602747.06 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
537 |
Number Of Beneficiaries Age 75 to 84 |
596 |
Number Of Beneficiaries Age Greater 84 |
419 |
Number Of Female Beneficiaries |
875 |
Number Of Male Beneficiaries |
712 |
Number Of Non Hispanic White Beneficiaries |
1455 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1494 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
93 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3862 |