National Provider Identifier [NPI]: |
1346525888 |
Last Name Of The Provider |
CHOUDHARY |
First Name Of The Provider |
NAMRATA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1518 MULBERRY AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MUSCATINE |
Zip Code Of The Provider |
527613433 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
1176 |
Number Of Medicare Beneficiaries |
372 |
Total Submitted Charge Amount |
95148 |
Total Medicare Allowed Amount |
52387.54 |
Total Medicare Payment Amount |
42241.18 |
Total Medicare Standardized Payment Amount |
45425.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
266 |
Number Of Medicare Beneficiaries With Drug Services |
126 |
Total Drug Submitted ChargeAmount |
11684 |
Total Drug Medicare AllowedAmount |
7749.35 |
Total Drug Medicare PaymentAmount |
7235.85 |
Total Drug Medicare Standardized Payment Amount |
7235.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
910 |
Number Of Medicare Beneficiaries With Medical Services |
372 |
Total Medical Submitted Charge Amount |
83464 |
Total Medical Medicare Allowed Amount |
44638.19 |
Total Medical Medicare Payment Amount |
35005.33 |
Total Medical Medicare Standardized Payment Amount |
38190.13 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
66 |
Number Of Beneficiaries Age 65 to 74 |
112 |
Number Of Beneficiaries Age 75 to 84 |
117 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
212 |
Number Of Male Beneficiaries |
160 |
Number Of Non Hispanic White Beneficiaries |
351 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
276 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
96 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3313 |