National Provider Identifier [NPI]: |
1871667774 |
Last Name Of The Provider |
CHAUDHARY |
First Name Of The Provider |
ASEEM |
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 |
1635 N GEORGE MASON DR |
Street Address 2 Of The Provider |
SUITE 430 |
City Of The Provider |
ARLINGTON |
Zip Code Of The Provider |
222053601 |
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 |
40 |
Number Of Services |
1763 |
Number Of Medicare Beneficiaries |
286 |
Total Submitted Charge Amount |
216540 |
Total Medicare Allowed Amount |
171309.4 |
Total Medicare Payment Amount |
128051.94 |
Total Medicare Standardized Payment Amount |
112866.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
147 |
Number Of Medicare Beneficiaries With Drug Services |
128 |
Total Drug Submitted ChargeAmount |
7000 |
Total Drug Medicare AllowedAmount |
5162.35 |
Total Drug Medicare PaymentAmount |
5058.86 |
Total Drug Medicare Standardized Payment Amount |
5058.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
1616 |
Number Of Medicare Beneficiaries With Medical Services |
286 |
Total Medical Submitted Charge Amount |
209540 |
Total Medical Medicare Allowed Amount |
166147.05 |
Total Medical Medicare Payment Amount |
122993.08 |
Total Medical Medicare Standardized Payment Amount |
107808.13 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
91 |
Number Of Beneficiaries Age 75 to 84 |
87 |
Number Of Beneficiaries Age Greater 84 |
68 |
Number Of Female Beneficiaries |
120 |
Number Of Male Beneficiaries |
166 |
Number Of Non Hispanic White Beneficiaries |
180 |
Number Of Black or African American Beneficiaries |
56 |
Number Of AsianPacific Islander Beneficiaries |
22 |
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 |
214 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
72 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.2848 |