National Provider Identifier [NPI]: |
1104893551 |
Last Name Of The Provider |
SACHDEV |
First Name Of The Provider |
JATINDER |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8151 WHITESBURG DR |
Street Address 2 Of The Provider |
AMERICAN FAMILY CARE INC |
City Of The Provider |
HUNTSVILLE |
Zip Code Of The Provider |
35802 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
5226 |
Number Of Medicare Beneficiaries |
808 |
Total Submitted Charge Amount |
298386.01 |
Total Medicare Allowed Amount |
169728.46 |
Total Medicare Payment Amount |
121000.29 |
Total Medicare Standardized Payment Amount |
132933.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
1143 |
Number Of Medicare Beneficiaries With Drug Services |
225 |
Total Drug Submitted ChargeAmount |
21387 |
Total Drug Medicare AllowedAmount |
3896.8 |
Total Drug Medicare PaymentAmount |
3100.73 |
Total Drug Medicare Standardized Payment Amount |
3100.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
4083 |
Number Of Medicare Beneficiaries With Medical Services |
807 |
Total Medical Submitted Charge Amount |
276999.01 |
Total Medical Medicare Allowed Amount |
165831.66 |
Total Medical Medicare Payment Amount |
117899.56 |
Total Medical Medicare Standardized Payment Amount |
129832.74 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
346 |
Number Of Beneficiaries Age 75 to 84 |
284 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
551 |
Number Of Male Beneficiaries |
257 |
Number Of Non Hispanic White Beneficiaries |
739 |
Number Of Black or African American Beneficiaries |
46 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
728 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
80 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8746 |