National Provider Identifier [NPI]: |
1932299278 |
Last Name Of The Provider |
SINGH-BEHL |
First Name Of The Provider |
DIVYA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
707 LAKE COOK RD |
Street Address 2 Of The Provider |
SUITE 121 |
City Of The Provider |
DEERFIELD |
Zip Code Of The Provider |
600155613 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
9431 |
Number Of Medicare Beneficiaries |
1115 |
Total Submitted Charge Amount |
2110044 |
Total Medicare Allowed Amount |
1226287.23 |
Total Medicare Payment Amount |
938307.58 |
Total Medicare Standardized Payment Amount |
807824.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
36 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
1336 |
Total Drug Medicare AllowedAmount |
806.19 |
Total Drug Medicare PaymentAmount |
623.84 |
Total Drug Medicare Standardized Payment Amount |
623.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
9395 |
Number Of Medicare Beneficiaries With Medical Services |
1115 |
Total Medical Submitted Charge Amount |
2108708 |
Total Medical Medicare Allowed Amount |
1225481.04 |
Total Medical Medicare Payment Amount |
937683.74 |
Total Medical Medicare Standardized Payment Amount |
807200.29 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
407 |
Number Of Beneficiaries Age 75 to 84 |
456 |
Number Of Beneficiaries Age Greater 84 |
241 |
Number Of Female Beneficiaries |
652 |
Number Of Male Beneficiaries |
463 |
Number Of Non Hispanic White Beneficiaries |
1084 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1082 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0366 |