National Provider Identifier [NPI]: |
1629078613 |
Last Name Of The Provider |
CHOLAPRANEE |
First Name Of The Provider |
REWAT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
135 CUMBERLAND RD |
Street Address 2 Of The Provider |
SUITE 204 |
City Of The Provider |
PITTSBURGH |
Zip Code Of The Provider |
152375447 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
2105 |
Number Of Medicare Beneficiaries |
395 |
Total Submitted Charge Amount |
210400 |
Total Medicare Allowed Amount |
127702.79 |
Total Medicare Payment Amount |
97433.02 |
Total Medicare Standardized Payment Amount |
100429.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
48 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
1215 |
Total Drug Medicare AllowedAmount |
923.19 |
Total Drug Medicare PaymentAmount |
904.63 |
Total Drug Medicare Standardized Payment Amount |
904.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
2057 |
Number Of Medicare Beneficiaries With Medical Services |
395 |
Total Medical Submitted Charge Amount |
209185 |
Total Medical Medicare Allowed Amount |
126779.6 |
Total Medical Medicare Payment Amount |
96528.39 |
Total Medical Medicare Standardized Payment Amount |
99524.91 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
80 |
Number Of Beneficiaries Age 75 to 84 |
117 |
Number Of Beneficiaries Age Greater 84 |
159 |
Number Of Female Beneficiaries |
234 |
Number Of Male Beneficiaries |
161 |
Number Of Non Hispanic White Beneficiaries |
372 |
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 |
340 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8077 |