National Provider Identifier [NPI]: |
1013928688 |
Last Name Of The Provider |
CHANDNA |
First Name Of The Provider |
HARISH |
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 |
2104 PATTERSON DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
VICTORIA |
Zip Code Of The Provider |
77901 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
6590 |
Number Of Medicare Beneficiaries |
1517 |
Total Submitted Charge Amount |
2221679.52 |
Total Medicare Allowed Amount |
903134.39 |
Total Medicare Payment Amount |
690630.27 |
Total Medicare Standardized Payment Amount |
713224.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1302 |
Number Of Medicare Beneficiaries With Drug Services |
297 |
Total Drug Submitted ChargeAmount |
84328.5 |
Total Drug Medicare AllowedAmount |
27964.26 |
Total Drug Medicare PaymentAmount |
20659.19 |
Total Drug Medicare Standardized Payment Amount |
20659.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
5288 |
Number Of Medicare Beneficiaries With Medical Services |
1517 |
Total Medical Submitted Charge Amount |
2137351.02 |
Total Medical Medicare Allowed Amount |
875170.13 |
Total Medical Medicare Payment Amount |
669971.08 |
Total Medical Medicare Standardized Payment Amount |
692565.2 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
211 |
Number Of Beneficiaries Age 65 to 74 |
559 |
Number Of Beneficiaries Age 75 to 84 |
527 |
Number Of Beneficiaries Age Greater 84 |
220 |
Number Of Female Beneficiaries |
847 |
Number Of Male Beneficiaries |
670 |
Number Of Non Hispanic White Beneficiaries |
943 |
Number Of Black or African American Beneficiaries |
97 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
465 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1113 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
404 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6629 |