National Provider Identifier [NPI]: |
1134120835 |
Last Name Of The Provider |
BALHARA |
First Name Of The Provider |
YOGINDRA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
761 5TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHAMBERSBURG |
Zip Code Of The Provider |
172014210 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
7494 |
Number Of Medicare Beneficiaries |
1327 |
Total Submitted Charge Amount |
887303 |
Total Medicare Allowed Amount |
664723.66 |
Total Medicare Payment Amount |
482862.97 |
Total Medicare Standardized Payment Amount |
503146.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
737 |
Number Of Medicare Beneficiaries With Drug Services |
225 |
Total Drug Submitted ChargeAmount |
8015 |
Total Drug Medicare AllowedAmount |
3289.57 |
Total Drug Medicare PaymentAmount |
3018.59 |
Total Drug Medicare Standardized Payment Amount |
3018.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
6757 |
Number Of Medicare Beneficiaries With Medical Services |
1327 |
Total Medical Submitted Charge Amount |
879288 |
Total Medical Medicare Allowed Amount |
661434.09 |
Total Medical Medicare Payment Amount |
479844.38 |
Total Medical Medicare Standardized Payment Amount |
500128.07 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
190 |
Number Of Beneficiaries Age 65 to 74 |
414 |
Number Of Beneficiaries Age 75 to 84 |
410 |
Number Of Beneficiaries Age Greater 84 |
313 |
Number Of Female Beneficiaries |
758 |
Number Of Male Beneficiaries |
569 |
Number Of Non Hispanic White Beneficiaries |
1266 |
Number Of Black or African American Beneficiaries |
36 |
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 |
942 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
385 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7914 |