National Provider Identifier [NPI]: |
1225215064 |
Last Name Of The Provider |
CHADDA |
First Name Of The Provider |
NADER |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6633 FOREST AVE |
Street Address 2 Of The Provider |
302 |
City Of The Provider |
NEW PORT RICHEY |
Zip Code Of The Provider |
346532612 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
123 |
Number Of Services |
19989.5 |
Number Of Medicare Beneficiaries |
1032 |
Total Submitted Charge Amount |
3249837.92 |
Total Medicare Allowed Amount |
1646543.43 |
Total Medicare Payment Amount |
1283549.88 |
Total Medicare Standardized Payment Amount |
1313041.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
14979.5 |
Number Of Medicare Beneficiaries With Drug Services |
127 |
Total Drug Submitted ChargeAmount |
32065.5 |
Total Drug Medicare AllowedAmount |
3238.56 |
Total Drug Medicare PaymentAmount |
2541.76 |
Total Drug Medicare Standardized Payment Amount |
2541.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
116 |
Number Of Medical Services |
5010 |
Number Of Medicare Beneficiaries With Medical Services |
1032 |
Total Medical Submitted Charge Amount |
3217772.42 |
Total Medical Medicare Allowed Amount |
1643304.87 |
Total Medical Medicare Payment Amount |
1281008.12 |
Total Medical Medicare Standardized Payment Amount |
1310499.27 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
194 |
Number Of Beneficiaries Age 65 to 74 |
356 |
Number Of Beneficiaries Age 75 to 84 |
311 |
Number Of Beneficiaries Age Greater 84 |
171 |
Number Of Female Beneficiaries |
567 |
Number Of Male Beneficiaries |
465 |
Number Of Non Hispanic White Beneficiaries |
967 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
760 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
272 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.9354 |