National Provider Identifier [NPI]: |
1972586568 |
Last Name Of The Provider |
BELAMKAR |
First Name Of The Provider |
VINAYAK |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2505 N LEBANON ST |
Street Address 2 Of The Provider |
SUITE 220 |
City Of The Provider |
LEBANON |
Zip Code Of The Provider |
460528612 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
1425 |
Number Of Medicare Beneficiaries |
260 |
Total Submitted Charge Amount |
369976.74 |
Total Medicare Allowed Amount |
163371.04 |
Total Medicare Payment Amount |
124302.12 |
Total Medicare Standardized Payment Amount |
130122.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
110 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
990 |
Total Drug Medicare AllowedAmount |
195.27 |
Total Drug Medicare PaymentAmount |
153.08 |
Total Drug Medicare Standardized Payment Amount |
153.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
1315 |
Number Of Medicare Beneficiaries With Medical Services |
260 |
Total Medical Submitted Charge Amount |
368986.74 |
Total Medical Medicare Allowed Amount |
163175.77 |
Total Medical Medicare Payment Amount |
124149.04 |
Total Medical Medicare Standardized Payment Amount |
129969.07 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
122 |
Number Of Beneficiaries Age 65 to 74 |
67 |
Number Of Beneficiaries Age 75 to 84 |
44 |
Number Of Beneficiaries Age Greater 84 |
27 |
Number Of Female Beneficiaries |
158 |
Number Of Male Beneficiaries |
102 |
Number Of Non Hispanic White Beneficiaries |
247 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
158 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
102 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.7306 |