National Provider Identifier [NPI]: |
1851497861 |
Last Name Of The Provider |
MENDHIRATTA |
First Name Of The Provider |
ANURITA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9043 SHADY GROVE CT |
Street Address 2 Of The Provider |
|
City Of The Provider |
GAITHERSBURG |
Zip Code Of The Provider |
208771301 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
2052 |
Number Of Medicare Beneficiaries |
426 |
Total Submitted Charge Amount |
253800 |
Total Medicare Allowed Amount |
179473.06 |
Total Medicare Payment Amount |
133122.9 |
Total Medicare Standardized Payment Amount |
119555.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
79 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
3370 |
Total Drug Medicare AllowedAmount |
2156.86 |
Total Drug Medicare PaymentAmount |
2113.5 |
Total Drug Medicare Standardized Payment Amount |
2113.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
1973 |
Number Of Medicare Beneficiaries With Medical Services |
426 |
Total Medical Submitted Charge Amount |
250430 |
Total Medical Medicare Allowed Amount |
177316.2 |
Total Medical Medicare Payment Amount |
131009.4 |
Total Medical Medicare Standardized Payment Amount |
117441.76 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
99 |
Number Of Beneficiaries Age 65 to 74 |
116 |
Number Of Beneficiaries Age 75 to 84 |
106 |
Number Of Beneficiaries Age Greater 84 |
105 |
Number Of Female Beneficiaries |
264 |
Number Of Male Beneficiaries |
162 |
Number Of Non Hispanic White Beneficiaries |
273 |
Number Of Black or African American Beneficiaries |
73 |
Number Of AsianPacific Islander Beneficiaries |
44 |
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
283 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
143 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
38 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
49 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
34 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.9983 |