National Provider Identifier [NPI]: |
1003155623 |
Last Name Of The Provider |
CHATTERJEE |
First Name Of The Provider |
GEETANJALI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
NP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1400 N WASHINGTON ST |
Street Address 2 Of The Provider |
WILMINGTON ANNEX |
City Of The Provider |
WILMINGTON |
Zip Code Of The Provider |
198011024 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
19 |
Number Of Services |
739 |
Number Of Medicare Beneficiaries |
227 |
Total Submitted Charge Amount |
123231 |
Total Medicare Allowed Amount |
66867.53 |
Total Medicare Payment Amount |
50116.3 |
Total Medicare Standardized Payment Amount |
58435.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
39 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
2401 |
Total Drug Medicare AllowedAmount |
1080.74 |
Total Drug Medicare PaymentAmount |
1059.08 |
Total Drug Medicare Standardized Payment Amount |
1059.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
700 |
Number Of Medicare Beneficiaries With Medical Services |
227 |
Total Medical Submitted Charge Amount |
120830 |
Total Medical Medicare Allowed Amount |
65786.79 |
Total Medical Medicare Payment Amount |
49057.22 |
Total Medical Medicare Standardized Payment Amount |
57376.8 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
44 |
Number Of Beneficiaries Age 75 to 84 |
70 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
161 |
Number Of Male Beneficiaries |
66 |
Number Of Non Hispanic White Beneficiaries |
170 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
133 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
94 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
51 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
60 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
3.3832 |