National Provider Identifier [NPI]: |
1053371492 |
Last Name Of The Provider |
CHATTERJI |
First Name Of The Provider |
MELANIE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
412 MALCOLM DR STE 306 |
Street Address 2 Of The Provider |
|
City Of The Provider |
WESTMINSTER |
Zip Code Of The Provider |
211576167 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
7855 |
Number Of Medicare Beneficiaries |
289 |
Total Submitted Charge Amount |
338250.06 |
Total Medicare Allowed Amount |
219240.03 |
Total Medicare Payment Amount |
173868.46 |
Total Medicare Standardized Payment Amount |
166012.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
4287 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
129617.24 |
Total Drug Medicare AllowedAmount |
91631.44 |
Total Drug Medicare PaymentAmount |
70382.3 |
Total Drug Medicare Standardized Payment Amount |
70382.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
3568 |
Number Of Medicare Beneficiaries With Medical Services |
289 |
Total Medical Submitted Charge Amount |
208632.82 |
Total Medical Medicare Allowed Amount |
127608.59 |
Total Medical Medicare Payment Amount |
103486.16 |
Total Medical Medicare Standardized Payment Amount |
95630.23 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
138 |
Number Of Beneficiaries Age 75 to 84 |
82 |
Number Of Beneficiaries Age Greater 84 |
26 |
Number Of Female Beneficiaries |
214 |
Number Of Male Beneficiaries |
75 |
Number Of Non Hispanic White Beneficiaries |
276 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
263 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
32 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1598 |