National Provider Identifier [NPI]: |
1225002918 |
Last Name Of The Provider |
CHHABRA |
First Name Of The Provider |
ANIL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1811 E BERT KOUNS |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
SHREVEPORT |
Zip Code Of The Provider |
71115 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
6126 |
Number Of Medicare Beneficiaries |
1625 |
Total Submitted Charge Amount |
2454559.5 |
Total Medicare Allowed Amount |
812125.92 |
Total Medicare Payment Amount |
606911.86 |
Total Medicare Standardized Payment Amount |
639856.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
708 |
Number Of Medicare Beneficiaries With Drug Services |
175 |
Total Drug Submitted ChargeAmount |
92040 |
Total Drug Medicare AllowedAmount |
37481.56 |
Total Drug Medicare PaymentAmount |
29138.15 |
Total Drug Medicare Standardized Payment Amount |
29138.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
5418 |
Number Of Medicare Beneficiaries With Medical Services |
1625 |
Total Medical Submitted Charge Amount |
2362519.5 |
Total Medical Medicare Allowed Amount |
774644.36 |
Total Medical Medicare Payment Amount |
577773.71 |
Total Medical Medicare Standardized Payment Amount |
610718.24 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
648 |
Number Of Beneficiaries Age 75 to 84 |
593 |
Number Of Beneficiaries Age Greater 84 |
257 |
Number Of Female Beneficiaries |
803 |
Number Of Male Beneficiaries |
822 |
Number Of Non Hispanic White Beneficiaries |
1364 |
Number Of Black or African American Beneficiaries |
213 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1338 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
287 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3793 |