National Provider Identifier [NPI]: |
1023115508 |
Last Name Of The Provider |
HINDUJA |
First Name Of The Provider |
ANISH |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
609 DUTCHMANS LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
EASTON |
Zip Code Of The Provider |
216013348 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
2640 |
Number Of Medicare Beneficiaries |
621 |
Total Submitted Charge Amount |
500279 |
Total Medicare Allowed Amount |
275167.4 |
Total Medicare Payment Amount |
206577.5 |
Total Medicare Standardized Payment Amount |
204367.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
16 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
400 |
Total Drug Medicare AllowedAmount |
245.96 |
Total Drug Medicare PaymentAmount |
241.01 |
Total Drug Medicare Standardized Payment Amount |
241.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
2624 |
Number Of Medicare Beneficiaries With Medical Services |
621 |
Total Medical Submitted Charge Amount |
499879 |
Total Medical Medicare Allowed Amount |
274921.44 |
Total Medical Medicare Payment Amount |
206336.49 |
Total Medical Medicare Standardized Payment Amount |
204126.24 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
93 |
Number Of Beneficiaries Age 65 to 74 |
220 |
Number Of Beneficiaries Age 75 to 84 |
212 |
Number Of Beneficiaries Age Greater 84 |
96 |
Number Of Female Beneficiaries |
305 |
Number Of Male Beneficiaries |
316 |
Number Of Non Hispanic White Beneficiaries |
435 |
Number Of Black or African American Beneficiaries |
175 |
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 |
483 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
138 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.7256 |