National Provider Identifier [NPI]: |
1710977301 |
Last Name Of The Provider |
CHANDRA |
First Name Of The Provider |
ANUJ |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
111 N PINE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
TRENTON |
Zip Code Of The Provider |
307522503 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
2008 |
Number Of Medicare Beneficiaries |
605 |
Total Submitted Charge Amount |
572861.01 |
Total Medicare Allowed Amount |
282869.41 |
Total Medicare Payment Amount |
205174.95 |
Total Medicare Standardized Payment Amount |
233073.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
40 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
1280 |
Total Drug Medicare AllowedAmount |
243.73 |
Total Drug Medicare PaymentAmount |
175.49 |
Total Drug Medicare Standardized Payment Amount |
175.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
1968 |
Number Of Medicare Beneficiaries With Medical Services |
605 |
Total Medical Submitted Charge Amount |
571581.01 |
Total Medical Medicare Allowed Amount |
282625.68 |
Total Medical Medicare Payment Amount |
204999.46 |
Total Medical Medicare Standardized Payment Amount |
232898.21 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
186 |
Number Of Beneficiaries Age 65 to 74 |
279 |
Number Of Beneficiaries Age 75 to 84 |
120 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
332 |
Number Of Male Beneficiaries |
273 |
Number Of Non Hispanic White Beneficiaries |
539 |
Number Of Black or African American Beneficiaries |
51 |
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 |
440 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
165 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2194 |