National Provider Identifier [NPI]: |
1710901202 |
Last Name Of The Provider |
KHURANA |
First Name Of The Provider |
CHARANJIT |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1715 N GEORGE MASON DR |
Street Address 2 Of The Provider |
STE 107 |
City Of The Provider |
ARLINGTON |
Zip Code Of The Provider |
22205 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
5285 |
Number Of Medicare Beneficiaries |
833 |
Total Submitted Charge Amount |
1004128.41 |
Total Medicare Allowed Amount |
705367.24 |
Total Medicare Payment Amount |
534772.31 |
Total Medicare Standardized Payment Amount |
481649.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
632 |
Number Of Medicare Beneficiaries With Drug Services |
169 |
Total Drug Submitted ChargeAmount |
58032 |
Total Drug Medicare AllowedAmount |
32443.73 |
Total Drug Medicare PaymentAmount |
25435.87 |
Total Drug Medicare Standardized Payment Amount |
25435.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
94 |
Number Of Medical Services |
4653 |
Number Of Medicare Beneficiaries With Medical Services |
833 |
Total Medical Submitted Charge Amount |
946096.41 |
Total Medical Medicare Allowed Amount |
672923.51 |
Total Medical Medicare Payment Amount |
509336.44 |
Total Medical Medicare Standardized Payment Amount |
456213.73 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
295 |
Number Of Beneficiaries Age 75 to 84 |
290 |
Number Of Beneficiaries Age Greater 84 |
171 |
Number Of Female Beneficiaries |
447 |
Number Of Male Beneficiaries |
386 |
Number Of Non Hispanic White Beneficiaries |
499 |
Number Of Black or African American Beneficiaries |
160 |
Number Of AsianPacific Islander Beneficiaries |
71 |
Number Of Hispanic Beneficiaries |
80 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
653 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
180 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7894 |