National Provider Identifier [NPI]: |
1114999083 |
Last Name Of The Provider |
CHATTA |
First Name Of The Provider |
GURKAMAL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5115 CENTRE AVE |
Street Address 2 Of The Provider |
UPMC CANCER PAVILLION |
City Of The Provider |
PITTSBURGH |
Zip Code Of The Provider |
152321301 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
15575 |
Number Of Medicare Beneficiaries |
388 |
Total Submitted Charge Amount |
1114251.58 |
Total Medicare Allowed Amount |
377825.92 |
Total Medicare Payment Amount |
292508.42 |
Total Medicare Standardized Payment Amount |
288875.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
48 |
Number Of Drug Services |
13892 |
Number Of Medicare Beneficiaries With Drug Services |
89 |
Total Drug Submitted ChargeAmount |
805331.58 |
Total Drug Medicare AllowedAmount |
261698.61 |
Total Drug Medicare PaymentAmount |
204759.59 |
Total Drug Medicare Standardized Payment Amount |
204759.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
1683 |
Number Of Medicare Beneficiaries With Medical Services |
385 |
Total Medical Submitted Charge Amount |
308920 |
Total Medical Medicare Allowed Amount |
116127.31 |
Total Medical Medicare Payment Amount |
87748.83 |
Total Medical Medicare Standardized Payment Amount |
84115.95 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
170 |
Number Of Beneficiaries Age 75 to 84 |
123 |
Number Of Beneficiaries Age Greater 84 |
56 |
Number Of Female Beneficiaries |
135 |
Number Of Male Beneficiaries |
253 |
Number Of Non Hispanic White Beneficiaries |
330 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
20 |
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 |
339 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
49 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
46 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7328 |