National Provider Identifier [NPI]: |
1558354860 |
Last Name Of The Provider |
VENKATRAMAN |
First Name Of The Provider |
CHITRA |
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 |
7300 HANOVER DRIVE |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
GREENBELT |
Zip Code Of The Provider |
20770 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
427996 |
Number Of Medicare Beneficiaries |
729 |
Total Submitted Charge Amount |
6020670 |
Total Medicare Allowed Amount |
2736538.94 |
Total Medicare Payment Amount |
2150171.14 |
Total Medicare Standardized Payment Amount |
2050049.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
49 |
Number Of Drug Services |
410650 |
Number Of Medicare Beneficiaries With Drug Services |
226 |
Total Drug Submitted ChargeAmount |
4580065 |
Total Drug Medicare AllowedAmount |
1859362.85 |
Total Drug Medicare PaymentAmount |
1457590.28 |
Total Drug Medicare Standardized Payment Amount |
1457590.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
17346 |
Number Of Medicare Beneficiaries With Medical Services |
729 |
Total Medical Submitted Charge Amount |
1440605 |
Total Medical Medicare Allowed Amount |
877176.09 |
Total Medical Medicare Payment Amount |
692580.86 |
Total Medical Medicare Standardized Payment Amount |
592459.23 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
125 |
Number Of Beneficiaries Age 65 to 74 |
326 |
Number Of Beneficiaries Age 75 to 84 |
207 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
490 |
Number Of Male Beneficiaries |
239 |
Number Of Non Hispanic White Beneficiaries |
148 |
Number Of Black or African American Beneficiaries |
532 |
Number Of AsianPacific Islander Beneficiaries |
24 |
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 |
563 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
166 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
37 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.9218 |