National Provider Identifier [NPI]: |
1386748606 |
Last Name Of The Provider |
CHAUDRY |
First Name Of The Provider |
SAJIDA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD MPH |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1132 ANNAPOLIS ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ODENTON |
Zip Code Of The Provider |
21113 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
230 |
Number Of Medicare Beneficiaries |
50 |
Total Submitted Charge Amount |
31570 |
Total Medicare Allowed Amount |
14022.31 |
Total Medicare Payment Amount |
10422.22 |
Total Medicare Standardized Payment Amount |
9821.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
16 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
657 |
Total Drug Medicare AllowedAmount |
279.97 |
Total Drug Medicare PaymentAmount |
268.95 |
Total Drug Medicare Standardized Payment Amount |
268.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
214 |
Number Of Medicare Beneficiaries With Medical Services |
50 |
Total Medical Submitted Charge Amount |
30913 |
Total Medical Medicare Allowed Amount |
13742.34 |
Total Medical Medicare Payment Amount |
10153.27 |
Total Medical Medicare Standardized Payment Amount |
9552.59 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
12 |
Number Of Beneficiaries Age 65 to 74 |
20 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
|
Number Of Male Beneficiaries |
|
Number Of Non Hispanic White Beneficiaries |
25 |
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 |
37 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
22 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
30 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.251 |