National Provider Identifier [NPI]: |
1285733956 |
Last Name Of The Provider |
CHOPRA |
First Name Of The Provider |
LUCKY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8305 KNIGHT RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770543905 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
2011 |
Number Of Medicare Beneficiaries |
1471 |
Total Submitted Charge Amount |
277890.27 |
Total Medicare Allowed Amount |
58732.82 |
Total Medicare Payment Amount |
45177.16 |
Total Medicare Standardized Payment Amount |
45909.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
2011 |
Number Of Medicare Beneficiaries With Medical Services |
1471 |
Total Medical Submitted Charge Amount |
277890.27 |
Total Medical Medicare Allowed Amount |
58732.82 |
Total Medical Medicare Payment Amount |
45177.16 |
Total Medical Medicare Standardized Payment Amount |
45909.25 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
286 |
Number Of Beneficiaries Age 65 to 74 |
382 |
Number Of Beneficiaries Age 75 to 84 |
404 |
Number Of Beneficiaries Age Greater 84 |
399 |
Number Of Female Beneficiaries |
829 |
Number Of Male Beneficiaries |
642 |
Number Of Non Hispanic White Beneficiaries |
869 |
Number Of Black or African American Beneficiaries |
387 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
151 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
790 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
681 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
54 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
73 |
Percent Of With Chronic Kidney Disease |
68 |
Percent Of With Chronic Obstructive Pulmonary Disease |
49 |
Percent Of With Depression |
54 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
21 |
Percent Of With Stroke |
26 |
Average HCC Risk Score Of Beneficiaries |
3.6367 |