National Provider Identifier [NPI]: |
1831122704 |
Last Name Of The Provider |
BAHAL |
First Name Of The Provider |
VISHAL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4 BURTON LN |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
MULLICA HILL |
Zip Code Of The Provider |
080629422 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
5550 |
Number Of Medicare Beneficiaries |
852 |
Total Submitted Charge Amount |
1653917.55 |
Total Medicare Allowed Amount |
699988.19 |
Total Medicare Payment Amount |
541921.46 |
Total Medicare Standardized Payment Amount |
507806.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
65 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
1900 |
Total Drug Medicare AllowedAmount |
63.25 |
Total Drug Medicare PaymentAmount |
49.84 |
Total Drug Medicare Standardized Payment Amount |
49.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
5485 |
Number Of Medicare Beneficiaries With Medical Services |
852 |
Total Medical Submitted Charge Amount |
1652017.55 |
Total Medical Medicare Allowed Amount |
699924.94 |
Total Medical Medicare Payment Amount |
541871.62 |
Total Medical Medicare Standardized Payment Amount |
507756.9 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
191 |
Number Of Beneficiaries Age 65 to 74 |
273 |
Number Of Beneficiaries Age 75 to 84 |
216 |
Number Of Beneficiaries Age Greater 84 |
172 |
Number Of Female Beneficiaries |
468 |
Number Of Male Beneficiaries |
384 |
Number Of Non Hispanic White Beneficiaries |
634 |
Number Of Black or African American Beneficiaries |
164 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
585 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
267 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
59 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
23 |
Average HCC Risk Score Of Beneficiaries |
2.2977 |