National Provider Identifier [NPI]: |
1366778540 |
Last Name Of The Provider |
ACHARYA |
First Name Of The Provider |
MANDEEP |
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 |
3146 CLARKSVILLE ST |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
PARIS |
Zip Code Of The Provider |
754608002 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
2549 |
Number Of Medicare Beneficiaries |
793 |
Total Submitted Charge Amount |
922025.42 |
Total Medicare Allowed Amount |
238984.94 |
Total Medicare Payment Amount |
186510.7 |
Total Medicare Standardized Payment Amount |
197876.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
60 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
3245.02 |
Total Drug Medicare AllowedAmount |
1364.79 |
Total Drug Medicare PaymentAmount |
1336.89 |
Total Drug Medicare Standardized Payment Amount |
1336.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
2489 |
Number Of Medicare Beneficiaries With Medical Services |
793 |
Total Medical Submitted Charge Amount |
918780.4 |
Total Medical Medicare Allowed Amount |
237620.15 |
Total Medical Medicare Payment Amount |
185173.81 |
Total Medical Medicare Standardized Payment Amount |
196539.95 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
156 |
Number Of Beneficiaries Age 65 to 74 |
265 |
Number Of Beneficiaries Age 75 to 84 |
255 |
Number Of Beneficiaries Age Greater 84 |
117 |
Number Of Female Beneficiaries |
447 |
Number Of Male Beneficiaries |
346 |
Number Of Non Hispanic White Beneficiaries |
621 |
Number Of Black or African American Beneficiaries |
121 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
32 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
465 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
328 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
64 |
Percent Of With Chronic Kidney Disease |
60 |
Percent Of With Chronic Obstructive Pulmonary Disease |
51 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.4461 |