National Provider Identifier [NPI]: |
1457372310 |
Last Name Of The Provider |
NATESAN |
First Name Of The Provider |
VEL |
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 |
951 MOUNT HERMON RD STE A |
Street Address 2 Of The Provider |
|
City Of The Provider |
SALISBURY |
Zip Code Of The Provider |
218045159 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
13544 |
Number Of Medicare Beneficiaries |
2592 |
Total Submitted Charge Amount |
1398636.76 |
Total Medicare Allowed Amount |
885187.85 |
Total Medicare Payment Amount |
654208.26 |
Total Medicare Standardized Payment Amount |
646356.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
3511 |
Number Of Medicare Beneficiaries With Drug Services |
531 |
Total Drug Submitted ChargeAmount |
97419 |
Total Drug Medicare AllowedAmount |
55095.2 |
Total Drug Medicare PaymentAmount |
45240.56 |
Total Drug Medicare Standardized Payment Amount |
45240.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
10033 |
Number Of Medicare Beneficiaries With Medical Services |
2592 |
Total Medical Submitted Charge Amount |
1301217.76 |
Total Medical Medicare Allowed Amount |
830092.65 |
Total Medical Medicare Payment Amount |
608967.7 |
Total Medical Medicare Standardized Payment Amount |
601115.72 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
193 |
Number Of Beneficiaries Age 65 to 74 |
1090 |
Number Of Beneficiaries Age 75 to 84 |
837 |
Number Of Beneficiaries Age Greater 84 |
472 |
Number Of Female Beneficiaries |
1518 |
Number Of Male Beneficiaries |
1074 |
Number Of Non Hispanic White Beneficiaries |
2189 |
Number Of Black or African American Beneficiaries |
355 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
2260 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
332 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.2709 |