Medicare Facts for Dr. Sourya R. Mahapatra, MD


National Provider Identifier [NPI]: 1457448086
Last Name Of The Provider MAHAPATRA
First Name Of The Provider SOURYA
Middle Initial Of The Provider R
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider NASHUA CENTER FOR HEALTHY AGING
Street Address 2 Of The Provider 280 MAIN ST., #210A
City Of The Provider NASHUA
Zip Code Of The Provider 03060
State Code Of The Provider NH
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 22
Number Of Services 799
Number Of Medicare Beneficiaries 436
Total Submitted Charge Amount 199070
Total Medicare Allowed Amount 96205.34
Total Medicare Payment Amount 73094.35
Total Medicare Standardized Payment Amount 72447.33
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 82
Number Of Beneficiaries Age Less65 31
Number Of Beneficiaries Age 65 to 74 64
Number Of Beneficiaries Age 75 to 84 123
Number Of Beneficiaries Age Greater 84 218
Number Of Female Beneficiaries 304
Number Of Male Beneficiaries 132
Number Of Non Hispanic White Beneficiaries 415
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 256
Number Of Beneficiaries With Medicare Medicaid Entitlement 180
Percent Of With Atrial Fibrillation 25
Percent Of With Alzheimers Disease or Dementia 61
Percent Of With Asthma 6
Percent Of With Cancer 14
Percent Of With Heart Failure 45
Percent Of With Chronic Kidney Disease 49
Percent Of With Chronic Obstructive Pulmonary Disease 31
Percent Of With Depression 63
Percent Of With Diabetes 41
Percent Of With Hyperlipidemia 60
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 61
Percent Of With Osteoporosis 29
Percent Of With Rheumatoid Arthritis Osteoarthritis 59
Percent Of With Schizophrenia Other PsychoticDisorders 24
Percent Of With Stroke 17
Average HCC Risk Score Of Beneficiaries 2.1649

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