National Provider Identifier [NPI]: |
1154373793 |
Last Name Of The Provider |
VADNERKAR |
First Name Of The Provider |
ANIKET |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2201 S STERLING ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MORGANTON |
Zip Code Of The Provider |
286554044 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
55364 |
Number Of Medicare Beneficiaries |
605 |
Total Submitted Charge Amount |
1153113 |
Total Medicare Allowed Amount |
486509.24 |
Total Medicare Payment Amount |
378754.25 |
Total Medicare Standardized Payment Amount |
382215.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
51254 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
390153 |
Total Drug Medicare AllowedAmount |
52448.53 |
Total Drug Medicare PaymentAmount |
41012.62 |
Total Drug Medicare Standardized Payment Amount |
41012.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
4110 |
Number Of Medicare Beneficiaries With Medical Services |
605 |
Total Medical Submitted Charge Amount |
762960 |
Total Medical Medicare Allowed Amount |
434060.71 |
Total Medical Medicare Payment Amount |
337741.63 |
Total Medical Medicare Standardized Payment Amount |
341203.09 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
229 |
Number Of Beneficiaries Age 75 to 84 |
183 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
307 |
Number Of Male Beneficiaries |
298 |
Number Of Non Hispanic White Beneficiaries |
491 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
32 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
480 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
125 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
60 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.7175 |