National Provider Identifier [NPI]: |
1235229246 |
Last Name Of The Provider |
KOCHHAR |
First Name Of The Provider |
BRIJINDER |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2950 PENNSYLVANIA AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEIRTON |
Zip Code Of The Provider |
260623765 |
State Code Of The Provider |
WV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
6560 |
Number Of Medicare Beneficiaries |
1167 |
Total Submitted Charge Amount |
881493 |
Total Medicare Allowed Amount |
474134.22 |
Total Medicare Payment Amount |
363770.9 |
Total Medicare Standardized Payment Amount |
360233.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
58 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
1670 |
Total Drug Medicare AllowedAmount |
766.37 |
Total Drug Medicare PaymentAmount |
751.12 |
Total Drug Medicare Standardized Payment Amount |
751.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
6502 |
Number Of Medicare Beneficiaries With Medical Services |
1167 |
Total Medical Submitted Charge Amount |
879823 |
Total Medical Medicare Allowed Amount |
473367.85 |
Total Medical Medicare Payment Amount |
363019.78 |
Total Medical Medicare Standardized Payment Amount |
359482.7 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
242 |
Number Of Beneficiaries Age 65 to 74 |
467 |
Number Of Beneficiaries Age 75 to 84 |
312 |
Number Of Beneficiaries Age Greater 84 |
146 |
Number Of Female Beneficiaries |
609 |
Number Of Male Beneficiaries |
558 |
Number Of Non Hispanic White Beneficiaries |
1105 |
Number Of Black or African American Beneficiaries |
44 |
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 |
828 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
339 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
25 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
66 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.9901 |