National Provider Identifier [NPI]: |
1568611630 |
Last Name Of The Provider |
CHAWLA |
First Name Of The Provider |
ARUN |
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 |
3400 S CRATER RD |
Street Address 2 Of The Provider |
STE#B |
City Of The Provider |
PETERSBURG |
Zip Code Of The Provider |
238059252 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
2464 |
Number Of Medicare Beneficiaries |
503 |
Total Submitted Charge Amount |
212479 |
Total Medicare Allowed Amount |
193028.06 |
Total Medicare Payment Amount |
149189.98 |
Total Medicare Standardized Payment Amount |
151758.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
726 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
5333 |
Total Drug Medicare AllowedAmount |
4976.73 |
Total Drug Medicare PaymentAmount |
3765.27 |
Total Drug Medicare Standardized Payment Amount |
3765.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
1738 |
Number Of Medicare Beneficiaries With Medical Services |
503 |
Total Medical Submitted Charge Amount |
207146 |
Total Medical Medicare Allowed Amount |
188051.33 |
Total Medical Medicare Payment Amount |
145424.71 |
Total Medical Medicare Standardized Payment Amount |
147992.75 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
176 |
Number Of Beneficiaries Age 75 to 84 |
137 |
Number Of Beneficiaries Age Greater 84 |
81 |
Number Of Female Beneficiaries |
287 |
Number Of Male Beneficiaries |
216 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
315 |
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 |
275 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
228 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
64 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
72 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
4.1217 |