National Provider Identifier [NPI]: |
1215915558 |
Last Name Of The Provider |
CHADA |
First Name Of The Provider |
SATISH |
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 |
1208 BROOK AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WICHITA FALLS |
Zip Code Of The Provider |
763015602 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Critical Care (Intensivists) |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
2956 |
Number Of Medicare Beneficiaries |
1047 |
Total Submitted Charge Amount |
748867 |
Total Medicare Allowed Amount |
312534.35 |
Total Medicare Payment Amount |
236097.95 |
Total Medicare Standardized Payment Amount |
247680.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
34 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
1230 |
Total Drug Medicare AllowedAmount |
582.69 |
Total Drug Medicare PaymentAmount |
570.97 |
Total Drug Medicare Standardized Payment Amount |
570.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
2922 |
Number Of Medicare Beneficiaries With Medical Services |
1047 |
Total Medical Submitted Charge Amount |
747637 |
Total Medical Medicare Allowed Amount |
311951.66 |
Total Medical Medicare Payment Amount |
235526.98 |
Total Medical Medicare Standardized Payment Amount |
247109.17 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
197 |
Number Of Beneficiaries Age 65 to 74 |
407 |
Number Of Beneficiaries Age 75 to 84 |
348 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
568 |
Number Of Male Beneficiaries |
479 |
Number Of Non Hispanic White Beneficiaries |
922 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
796 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
251 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
62 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.9582 |