National Provider Identifier [NPI]: |
1710085600 |
Last Name Of The Provider |
ARLA |
First Name Of The Provider |
MOHANA |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
170 DR ARLA WAY STE 101 |
Street Address 2 Of The Provider |
|
City Of The Provider |
LOUISVILLE |
Zip Code Of The Provider |
402295427 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
10085 |
Number Of Medicare Beneficiaries |
1477 |
Total Submitted Charge Amount |
755779.89 |
Total Medicare Allowed Amount |
497060.96 |
Total Medicare Payment Amount |
379385.02 |
Total Medicare Standardized Payment Amount |
408166.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
73 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
3630 |
Total Drug Medicare AllowedAmount |
2039.38 |
Total Drug Medicare PaymentAmount |
1980.84 |
Total Drug Medicare Standardized Payment Amount |
1980.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
10012 |
Number Of Medicare Beneficiaries With Medical Services |
1477 |
Total Medical Submitted Charge Amount |
752149.89 |
Total Medical Medicare Allowed Amount |
495021.58 |
Total Medical Medicare Payment Amount |
377404.18 |
Total Medical Medicare Standardized Payment Amount |
406185.32 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
541 |
Number Of Beneficiaries Age 65 to 74 |
496 |
Number Of Beneficiaries Age 75 to 84 |
322 |
Number Of Beneficiaries Age Greater 84 |
118 |
Number Of Female Beneficiaries |
819 |
Number Of Male Beneficiaries |
658 |
Number Of Non Hispanic White Beneficiaries |
1325 |
Number Of Black or African American Beneficiaries |
110 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
941 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
536 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
20 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3296 |